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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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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
PubMed
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.

Keywords:
Back painfailed back surgery syndromespine surgery

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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.