Lucas Andrew J
Department of Psychology, Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK.
Br J Pain. 2012 Nov;6(4):162-5. doi: 10.1177/2049463712466517.
Failed back surgery syndrome or "failed back syndrome" refers to persistent pain after spinal surgery. This opinion piece will discuss the back ground and scale of failed back surgery syndrome. There will be a description of the medical and psychological factors that have been reported as predictors of poor outcome from spinal surgery. The management of failed back surgery syndrome will be discussed with a personal viewpoint based on working with this patient group for fifteen years. It will be argued that failed back surgery syndrome and failed back syndrome are now redundant terms and are not useful for either patient or healthcare provider, and so should be discarded.Key words Failed back surgery syndrome, failed back syndrome.
腰椎手术失败综合征或“腰部失能综合征”是指脊柱手术后持续存在的疼痛。这篇观点文章将讨论腰椎手术失败综合征的背景和规模。还将描述一些已被报道为脊柱手术预后不良预测因素的医学和心理因素。基于与该患者群体长达15年的工作经验,将从个人观点出发讨论腰椎手术失败综合征的治疗。本文将论证,腰椎手术失败综合征和腰部失能综合征现在是多余的术语,对患者和医疗服务提供者都没有帮助,因此应该摒弃。关键词:腰椎手术失败综合征,腰部失能综合征