Department of Anesthesiology and Intensive Care, School of Medicine, AJA University of Medical Sciences, Tehran, Iran.
Department of Orthopedic Surgery, School of Medicine, AJA University of Medical Science, Tehran, Iran.
Neurochirurgie. 2022 Jul;68(4):426-431. doi: 10.1016/j.neuchi.2021.09.005. Epub 2021 Sep 17.
Failed back surgery syndrome (FBSS) is associated with persistent lower back pain after and despite one or more surgical interventions. A number of factors underlie and maintain FBSS and successful management of pain chiefly depends on identifying them. Pharmacological, surgical, and non-surgical therapeutic measures are taken to treat the pain. Spinal cord stimulation and nerve stimulation have been widely practiced in this regard and enhanced pain reduction and patient satisfaction. In hernia and recurrent disc degeneration and sagittal imbalance, discectomy and/or fusion are indicated. The present review focuses on FBSS and its underlying components and on available treatment options.
失败性腰椎术后综合征（FBSS）是指在一次或多次手术后仍持续存在的下腰痛。多种因素导致 FBSS，并维持其状态，成功管理疼痛主要取决于识别这些因素。药物治疗、手术治疗和非手术治疗措施都被用于治疗疼痛。脊髓刺激和神经刺激在这方面得到了广泛应用，增强了疼痛缓解和患者满意度。在疝、复发性椎间盘退变和矢状面失衡中，椎间盘切除术和/或融合术是指征。本综述重点介绍 FBSS 及其潜在组成部分以及可用的治疗选择。
