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Related Experiment Video

Updated: Apr 18, 2026

Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation
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Failed back surgery syndrome: who has failed?

A Al Kaisy1, D Pang1, M J Desai2

  • 1Pain Management Department, St Thomas & Guy's Hospital, London, UK.

Neuro-Chirurgie
|January 18, 2015
PubMed
Summary
This summary is machine-generated.

Failed back surgery syndrome (FBSS) is a complex condition causing chronic pain. Redefining FBSS with a focus on future care pathways and patient-centered approaches can improve management and outcomes.

Keywords:
Back painChirurgieChronic painDouleurs chroniquesDouleurs du dosFailed back surgery syndromeLombo-radiculalgies postopératoiresRachisSpinal cord stimulationSpineStimulation médullaire épiduraleSurgery

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Area of Science:

  • Pain Management
  • Spine Surgery Outcomes
  • Health Systems Research

Background:

  • Failed back surgery syndrome (FBSS) is characterized by chronic back and radicular pain post-surgery.
  • The term "failure" in FBSS carries negative connotations, impacting patient and therapist understanding.
  • Clinician perceptions of FBSS vary significantly based on their medical background.

Purpose of the Study:

  • To explore expert perspectives on defining and managing postoperative back and radicular pain.
  • To address the challenges posed by the term "Failed Back Surgery Syndrome" (FBSS).
  • To propose an optimized, patient-centered care pathway for FBSS.

Main Methods:

  • Qualitative study involving eight health system experts from diverse specialties.
  • Experts were consulted to define and share their specialist viewpoints on managing postoperative pain.
  • Analysis focused on understanding varied perspectives to inform treatment strategies.

Main Results:

  • Expert consensus highlighted the need to move beyond the "failure" narrative in FBSS.
  • A multidisciplinary approach is crucial for comprehensive patient care.
  • The current understanding and management of FBSS require a shift towards a more positive, future-oriented perspective.

Conclusions:

  • The pejorative connotation of FBSS should be replaced with a temporal concept focusing on future care.
  • Redefining the care pathway and renaming the syndrome can foster a more positive, patient-centered approach.
  • Achieving consensus through consultation is key to optimizing management and patient outcomes.