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The post spinal surgery syndrome: A review.
R Ramnarayan1, Bipin Chaurasia2
1Department of Neurosurgery, New Hope Hospital, Chennai, Tamil Nadu, India.
Journal of Craniovertebral Junction & Spine
|May 22, 2023
Summary
Post spinal surgery syndrome (PSSS) involves more than just pain; it includes various neurological deficits like foot drop and cauda equina syndrome after lower back surgery. This review highlights these lesser-known complications to improve patient awareness.
Area of Science:
- Neurosurgery
- Neurology
Background:
- Post spinal surgery syndrome (PSSS) is often narrowly defined by pain.
- Neurological deficits beyond pain are common after lower back surgery but frequently overlooked.
Purpose of the Study:
- To review and consolidate the various neurological deficits associated with spinal surgery.
- To broaden the understanding of PSSS beyond pain to include other neurological complications.
Main Methods:
- Literature search using keywords: foot drop, cauda equina syndrome, epidural hematoma, nerve and dural injury in spine surgery.
- Analysis of 189 retrieved articles, focusing on the most relevant findings.
Main Results:
- Spinal surgery can lead to a range of neurological deficits beyond the commonly recognized failed back surgery syndrome.
- Complications such as foot drop, cauda equina syndrome, epidural hematoma, and nerve/dural injury contribute significantly to patient discomfort.
Conclusions:
- PSSS encompasses a broader spectrum of neurological deficits than previously recognized.
- Increased awareness and collective understanding of these complications are crucial for improved patient care following spinal surgery.
