Clinical Evaluation of Failed Back Surgery Syndrome(FBSS).
- Author:
Hyoung Chun PARK
1
;
Young Soo KIM
Author Information
1. Department of Neurosurgery, Yonsei University, College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Failed back surgery syndrome(FBSS);
Failed back surgery patients(FBSP);
Recurrent disc;
Neurogenic intermittent claudication(NIC);
CT scan;
Chemonucleolysis
- MeSH:
Back Pain;
Decompression;
Humans;
Intervertebral Disc Chemolysis;
Leg;
Reoperation;
Tomography, X-Ray Computed
- From:Journal of Korean Neurosurgical Society
1993;22(1):48-57
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The authors experienced 186 cases of Failed Back Surgery Syndrome(FBSS), which were 2.5% of all admitted patients in authors' clinic from 1983 to 1992. Among them, 173 patients were referred cases from other hospital and 13 patients were authors' cases which was 0.2% of authors' back surgery. About 75% of all was come to our clinic within 2 years after initial operation. The common cause of FBSS was resulted form inadequate surgery or surgical complications (51%). In these cases, incomplete decompression at initial operation was seemed to be a major factor. The next causes was due to inadequate patient selection(26.3%) and the FBSS was more prevalent when the patient had only back pain without leg pain. The other causes of FBSS was post-operative adhesion(8.6%), discitis(4.3%), and inadequate diagnosis(4.3%). So about 80% of FBSS seem to have preventable causes. 66 of 186 cases was performed reoperation and 70% of them had improvement.
