Failed back surgery syndrome: current perspectives.
Failed back surgery syndrome: current perspectives.
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DOI：
10.2147/jpr.s92776
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发表时间：
2016
影响因子：
2.7
通讯作者：
Erdek MA
中科院分区：
文献类型：
--
作者：
Baber Z;Erdek MA
对于外科医生、疼痛专家和初级保健提供者来说，失败背部手术综合征（FBSS）的治疗同样具有挑战性。当手术无法治疗患者的腰椎疼痛时，就会发生FBSS。将FBSS的可能性降至最低取决于确定患者疼痛的明确病因，识别高危患者，并在决定进行翻修手术前采取保守措施。FBSS的检查包括全面的病史和体格检查、诊断成像和检查程序。在确定FBSS的原因后，首选多学科方法。这包括疼痛的药理学治疗、物理治疗和行为矫正，还可能包括注射、射频消融、粘连溶解、脊髓刺激甚至再手术等治疗程序。
The treatment of failed back surgery syndrome (FBSS) can be equally challenging to surgeons, pain specialists, and primary care providers alike. The onset of FBSS occurs when surgery fails to treat the patient’s lumbar spinal pain. Minimizing the likelihood of FBSS is dependent on determining a clear etiology of the patient’s pain, recognizing those who are at high risk, and exhausting conservative measures before deciding to go into a revision surgery. The workup of FBSS includes a thorough history and physical examination, diagnostic imaging, and procedures. After determining the cause of FBSS, a multidisciplinary approach is preferred. This includes pharmacologic management of pain, physical therapy, and behavioral modification and may include therapeutic procedures such as injections, radiofrequency ablation, lysis of adhesions, spinal cord stimulation, and even reoperations.