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Failed lumbar disk syndrome.

F Guarnera1, P Mancuso, G Augello

  • 1Neurosurgical Institute, University of Catania.

Zentralblatt Fur Neurochirurgie
|January 1, 1987
PubMed
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Failed Lumbar Disk Syndrome (FLDS) affects 8 of 210 patients after surgery. Pain may stem from neural pathway abnormalities, and prevention is key due to poor treatment outcomes for this condition.

Area of Science:

  • Neurosurgery
  • Pain Management
  • Spinal Surgery

Background:

  • Failed Lumbar Disk Syndrome (FLDS) is a challenging complication following lumbar disk surgery.
  • Understanding the underlying pathophysiology of FLDS pain is crucial for effective management.
  • Current therapeutic options for iatrogenic deafferentation pain in FLDS show limited efficacy.

Purpose of the Study:

  • To report cases of FLDS and discuss associated risk factors.
  • To explore the neurobiological basis of pain in FLDS patients.
  • To emphasize the importance of preventative strategies for FLDS.

Main Methods:

  • Retrospective analysis of 8 FLDS cases among 210 patients who underwent slipped disk surgery.
  • Review of literature concerning risk factors and pain mechanisms in FLDS.

Related Experiment Videos

  • Discussion of neuroanatomical structures implicated in FLDS pain, including substantia gelatinosa and Lissauer's tract.
  • Main Results:

    • Identified 8 cases of FLDS in a cohort of 210 operated patients.
    • Discussed potential risk factors contributing to the development of FLDS.
    • Hypothesized that abnormalities in the substantia gelatinosa or Lissauer's tract neurons may cause FLDS pain.

    Conclusions:

    • FLDS is a significant concern after lumbar disk surgery, with a notable incidence.
    • Pain in FLDS may be linked to specific neural pathway dysfunctions.
    • Preventative measures are paramount due to the poor response of iatrogenic deafferentation pain to existing therapies.