Failed back syndrome
Failed back syndrome refers to 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.
Other names for failed back syndrome include failed back surgery syndrome, post-laminectomy syndrome, or post-surgical spine syndrome.
- recurrent or residual lumbar disc disease
- postoperative instability (at operative level or at non-operative level)
- instrumentation-related, e.g. nerve root irritation from pedicle screw
- wrong-level surgery
- lateral recess or central canal stenosis
- synovial cyst
- spinal dural arteriovenous fistula
- epidural abscess
- epidural haematoma
- 1. Arts MP, Jacobs WCH, Peul WC. Failed back (surgery) syndrome: Time for a paradigm shift. British Journal of Pain February 2013 vol. 7 no. 1 48-55. Available from: http://bjp.sagepub.com/content/7/1/48.full
- 2. Ordia J, Vaisman J. Post-surgical spine syndrome. Surg Neurol Int. 2011;2 (1): 132. doi:10.4103/2152-7806.85475 - Free text at pubmed - Pubmed citation
- 3. Young PM, Berquist TH, Bancroft LW et-al. Complications of spinal instrumentation. Radiographics. 2007;27 (3): 775-89. Radiographics (full text) - doi:10.1148/rg.273065055 - Pubmed citation