Clinical outcome of surgical treatment of failed back surgery syndrome

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dc.contributor.author Skaf, Ghassan
dc.contributor.author Bouclaous, Carmel
dc.contributor.author Alaraj, Ali
dc.contributor.author Chamoun, Roukoz
dc.date.accessioned 2020-06-29T08:36:25Z
dc.date.available 2020-06-29T08:36:25Z
dc.date.copyright 2005 en_US
dc.date.issued 2020-06-29
dc.identifier.issn 0090-3019 en_US
dc.identifier.uri http://hdl.handle.net/10725/11935
dc.description.abstract Background Failed back surgery syndrome (FBSS) is a condition in which there is failure to improve satisfactorily after back surgery. It is characterized by intractable pain and various degrees of functional disability after lumbar spine surgery. It is estimated that this complication occurs in 5% to 10% of patients after spinal surgeries. The major causes of FBSS are fibrosis and adhesions, spinal instability, recurrent herniated disk, and inadequate decompression. The purpose of this study is to report on the postsurgical outcome after a redo spinal surgery. Methods We prospectively studied 50 patients with FBSS. The underlying pathology was identified and all the patients were treated surgically. Redo surgery was targeted at correcting the underlying pathology: removal of recurrent or residual disk, release of adhesions with neural decompression, and fusion with or without instrumentation. The postsurgical outcome was studied using the Oswestry Disability Questionnaire (ODQ). Results The average preoperative ODQ mean score was 80.8; the average postoperative ODQ mean score was 36.6 at 1 month and 24.2 at 1 year. Best scores were obtained at 3 months of follow-up in most cases. Successful outcome (>50% pain relief) could be achieved in 92% of the patients at 1 year. Conclusion The current study shows that successful management of patients with FBSS could be achieved with proper patient selection, correct preoperative diagnosis, and adequate surgical procedure targeting the underlying pathology. en_US
dc.language.iso en en_US
dc.title Clinical outcome of surgical treatment of failed back surgery syndrome en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 201505343 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Surgical Neurology en_US
dc.journal.volume 64 en_US
dc.journal.issue 6 en_US
dc.article.pages 483-488 en_US
dc.keywords Failed back surgery en_US
dc.keywords Recurrent disk en_US
dc.keywords Fibrosis en_US
dc.keywords Spinal instability en_US
dc.keywords Oswestry Disability en_US
dc.keywords Questionnaire en_US
dc.identifier.doi https://doi.org/10.1016/j.surneu.2005.04.009 en_US
dc.identifier.ctation Skaf, G., Bouclaous, C., Alaraj, A., & Chamoun, R. (2005). Clinical outcome of surgical treatment of failed back surgery syndrome. Surgical neurology, 64(6), 483-488. en_US
dc.author.email carmel.bouclaous@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://www.sciencedirect.com/science/article/abs/pii/S009030190500220X en_US
dc.orcid.id https://orcid.org/0000-0002-3832-0806 en_US
dc.author.affiliation Lebanese American University en_US

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