A rationale for the treatment algorithm of failed back surgery syndrome

Anderson, Susan R.

doi:10.1007/s11916-000-0024-4

Cited by 44 publications

(32 citation statements)

References 83 publications

(92 reference statements)

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“…These are the areas of presumed scarring and typically correspond to the patient's radicular complaints. If vascular uptake is observed, the needle needs to be redirected 1) .…”

Section: Operative Techniquementioning

confidence: 99%

Percutaneous Epidural Adhesiolysis of Lumbar Spinal Stenosis

Yoon¹,

Shin²,

Ji³

et al. 2015

Asian J Pain

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Percutaneous epidural neuroplasty (PEN) represents an important part of the interventional repertoire for the treatment of low back pain which is refractory to conventional treatments such as epidural steroid injections (ESI). PEN has been done worldwildey. The evidence surrounding epidural neuroplasty is still controversial, but, many studies support ambulatory PEN for failed back surgery syndrome, spinal stenosis and radicular pain refractory to less invasive procedures. The primary purpose of PEN is to deliver anesthetic, anti-inflammatory, and/or anti-adhesive drugs in addition to mechanical adhesiolysis. Hydrostatic and chemical adhesiolysis may contribute to the beneficial effect of adhesiolysis. Identifying the ideal patients and technique for PEN is important to maximize its effectiveness. The cumulative evidence shows that PEN is an effective treatment for spinal stenosis.

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“…These are the areas of presumed scarring and typically correspond to the patient's radicular complaints. If vascular uptake is observed, the needle needs to be redirected 1) .…”

Section: Operative Techniquementioning

confidence: 99%

Percutaneous Epidural Adhesiolysis of Lumbar Spinal Stenosis

Yoon¹,

Shin²,

Ji³

et al. 2015

Asian J Pain

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show abstract

“…The indication for this surgery is based on neurological finding. In general, the patient predominantly either suffers from back pain associated with progression of root lesion in a lower extremity or with neurogenic claudications in the lower limbs, and shows no reaction to the full conservative therapy algorhytm (Anderson, 2000;Brinnckman et al, 1989;Brodke et al, 1997;Cloward, 1953, Hrabálek et al, 2009Paleček et al, 1994;Fischgrund et al, 1997). Furthermore, the disease is supported by graphic images of compression of the neural structures caused by degenerative lesions (Knudson, 1944;Crock, 1978;Modick et al, 1983;Sonntag and Theodore, 2000).…”

Section: Advantages and Disadvantages Of Plif Surgical Technique Usinmentioning

confidence: 99%

Development and Clinical Evaluation of Bioactive Implant for Interbody Fusion in the Treatment of Degenerative Lumbar Spine Disease

Filip¹,

Linzer²,

Strnad³

2012

Low Back Pain Pathogenesis and Treatment

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“…In radicular pain it is essential to differentiate between operated backs (also known as failed back surgery syndrome [FBSS]), versus nonoperated backs, because a suspicion of the presence of epidural fibrosis alters the therapeutic yield of injections [9].…”

Section: Procedures Selectionmentioning

confidence: 99%