Postoperative scar around S1 nerve root

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Recent L5/S1 hemilaminectomy and discectomy with persistent right S1 nerve root symptoms.

Patient Data

Age: 55 years
Gender: Female

Pre- and post-contrast MRI demonstrates the S1 nerve root to be surrounded by enhancing scar tissue in the right side.

Case Discussion

Failed back syndrome refers to the persistent leg and/or lumbar back pain after a surgical procedure. The pathophysiology of this syndrome is complex, as often the operation was technically successful. 

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