Treatment of Failed Back Surgery Syndrome

Dario, Alessandro; Fortini, Gianpaolo; Bertollo, Daniele; Bacuzzi, Alessandro; Grizzetti, Carlo; Cuffari, Salvatore

doi:10.1046/j.1525-1403.2001.00105.x

Cited by 66 publications

(46 citation statements)

References 15 publications

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“…In the cohort study of Dario et al,17 allocation to SCS or control study arms was made on the basis of the success of previous medical therapy ( Table 1). As a result, there was likely to be a major imbalance in the prognostic features of these two groups (i.e., medical failures are likely to be in those patients with more severe disease).…”

Section: Controlled Studiesmentioning

confidence: 99%

Spinal Cord Stimulation for Chronic Back and Leg Pain and Failed Back Surgery Syndrome: A Systematic Review and Analysis of Prognostic Factors

Taylor¹,

Buyten²,

Buchser³

2005

Spine

290

249

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Section: Controlled Studiesmentioning

confidence: 99%

Spinal Cord Stimulation for Chronic Back and Leg Pain and Failed Back Surgery Syndrome: A Systematic Review and Analysis of Prognostic Factors

Taylor¹,

Buyten²,

Buchser³

2005

Spine

290

249

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“…Multiple clinical studies have demonstrated the efficiency and safety of spinal cord stimulation in that indication [2,14]. Two types of leads can be used for the procedure: a surgical multicolumn paddle lead or a cylindrical percutaneous lead.…”

Section: Discussionmentioning

confidence: 99%

Decreased Radiation Exposure with Percutaneous Shielded Lead Compared to Unshielded Implant for Spinal Cord Stimulation

Zaidman¹,

Constant²,

Chaskis³

et al. 2015

J Pain Relief

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“…The limitations of spinal cord stimulation in alleviating low back pain have been recognized in prior studies. (10)(11)(12), (14) Some have speculated that axial back pain has a considerable nociceptive component, which makes it less responsive to a SCS. (15) Although low back pain may be a universal complaint among patients with FBSS, the contribution of lower extremity neuropathic pain to disability in such patients must not be underestimated.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Intrathecal Opioid Pump and Spinal Cord Stimulation for Pain Management: Analysis of 11 Patients With Failed Back Surgery Syndrome

Tomycz¹,

Ortiz²,

Moossy³

2010

Journal of Pain & Palliative Care Pharmacotherapy

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Dual-modality management of failed back surgery syndrome (FBSS) using a combination of an intrathecal opioid pump (IOP) and spinal cord stimulator (SCS) has not been investigated. The authors performed a retrospective review of 11 patients (8 men, 3 women) with FBSS who underwent nonsimultaneous surgical implantation of both an IOP and a thoracic SCS. Chart review and structured phone interviews were performed to obtain follow-up. Of the two modalities, 3 patients (27%) had an IOP placed first and 8 patients (73%) had a SCS implanted initially. Mean follow-up was 41.7 months (3-97 months). All 11 patients (100%) stated that the dual-modality treatment improved their quality of life and all continue to use both an IOP and SCS for pain control. Six patients (55%) felt that the IOP provided superior pain relief as compared to the SCS, 4 patients (36%) felt that IOP and SCS provided a similar degree of pain relief, and 1 patient (9%) said the SCS provided better pain relief than the IOP. Nine patients (82%) claimed that dual-modality treatment improved their activities of daily living. Nine patients (82%) reported that the combination of IOP and SCS treatment had allowed them to significantly decrease their oral pain medication requirements. Seven patients (64%) had hardware-related complications which required surgery; of this group, 2 patients (18%) needed more than one operation. Six patients (55%) had minor postoperative complications, which were managed nonoperatively. Overall, 10 patients (91%) were glad that they had implantation of both an IOP and SCS and would recommend this combined therapy to other patients. Dual neuroaugmentative treatment with an IOP and thoracic SCS can be safely performed and may provide satisfactory pain relief in appropriately selected patients with FBSS.

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Treatment of Failed Back Surgery Syndrome

Cited by 66 publications

References 15 publications

Spinal Cord Stimulation for Chronic Back and Leg Pain and Failed Back Surgery Syndrome: A Systematic Review and Analysis of Prognostic Factors

Spinal Cord Stimulation for Chronic Back and Leg Pain and Failed Back Surgery Syndrome: A Systematic Review and Analysis of Prognostic Factors

Decreased Radiation Exposure with Percutaneous Shielded Lead Compared to Unshielded Implant for Spinal Cord Stimulation

Simultaneous Intrathecal Opioid Pump and Spinal Cord Stimulation for Pain Management: Analysis of 11 Patients With Failed Back Surgery Syndrome

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