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Clinical outcome of surgical treatment of failed back surgery syndrome

Show simple item record Skaf G. Bouclaous C. Alaraj A. Chamoun R.
dc.contributor.editor Dec-2005 2017-10-05T16:07:46Z 2017-10-05T16:07:46Z 2005
dc.identifier 10.1016/j.surneu.2005.04.009
dc.identifier.issn 00903019
dc.description.abstract Background: Failed back surgery syndrome (FBSS) is a condition in which there is failure to improve satisfactorily after back surgery. It is characterized by intractable pain and various degrees of functional disability after lumbar spine surgery. It is estimated that this complication occurs in 5percent to 10percent of patients after spinal surgeries. The major causes of FBSS are fibrosis and adhesions, spinal instability, recurrent herniated disk, and inadequate decompression. The purpose of this study is to report on the postsurgical outcome after a redo spinal surgery. Methods: We prospectively studied 50 patients with FBSS. The underlying pathology was identified and all the patients were treated surgically. Redo surgery was targeted at correcting the underlying pathology: removal of recurrent or residual disk, release of adhesions with neural decompression, and fusion with or without instrumentation. The postsurgical outcome was studied using the Oswestry Disability Questionnaire (ODQ). Results: The average preoperative ODQ mean score was 80.8; the average postoperative ODQ mean score was 36.6 at 1 month and 24.2 at 1 year. Best scores were obtained at 3 months of follow-up in most cases. Successful outcome (50percent pain relief) could be achieved in 92percent of the patients at 1 year. Conclusion: The current study shows that successful management of patients with FBSS could be achieved with proper patient selection, correct preoperative diagnosis, and adequate surgical procedure targeting the underlying pathology. © 2005 Elsevier Inc. All rights reserved.
dc.format.extent Pages: (483-488)
dc.language English
dc.publisher NEW YORK
dc.relation.ispartof Publication Name: Surgical Neurology; Publication Year: 2005; Volume: 64; no. 6; Pages: (483-488);
dc.source Scopus
dc.title Clinical outcome of surgical treatment of failed back surgery syndrome
dc.type Article
dc.contributor.affiliation Skaf, G., Division of Neurosurgery, American University of Beirut Medical Center, Beirut 1107-2020, Lebanon
dc.contributor.affiliation Bouclaous, C., Division of Neurosurgery, American University of Beirut Medical Center, Beirut 1107-2020, Lebanon
dc.contributor.affiliation Alaraj, A., Division of Neurosurgery, American University of Beirut Medical Center, Beirut 1107-2020, Lebanon
dc.contributor.affiliation Chamoun, R., Division of Neurosurgery, American University of Beirut Medical Center, Beirut 1107-2020, Lebanon
dc.contributor.authorAddress Skaf, G.; Division of Neurosurgery, American University of Beirut Medical Center, Beirut 1107-2020, Lebanon; email:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Surgery; Division: Neurosurgery;
dc.contributor.authorDepartment Surgery
dc.contributor.authorDivision Neurosurgery
dc.contributor.faculty Faculty of Medicine
dc.contributor.authorInitials Skaf, G
dc.contributor.authorInitials Bouclaous, C
dc.contributor.authorInitials Alaraj, A
dc.contributor.authorInitials Chamoun, R
dc.contributor.authorReprintAddress Skaf, G (reprint author), Amer Univ Beirut, Med Ctr, Div Neurosurg, Beirut 11072020, Lebanon.
dc.contributor.authorResearcherID Alaraj, Ali-G-5464-2013
dc.contributor.authorUniversity American University of Beirut Medical Center
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dc.description.citedCount 21
dc.description.citedTotWOSCount 27
dc.description.citedWOSCount 21
dc.format.extentCount 6
dc.identifier.coden SGNRA
dc.identifier.pubmedID 16293454
dc.identifier.scopusID 27744480847
dc.publisher.address 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA
dc.relation.ispartOfISOAbbr Surg. Neurol.
dc.relation.ispartOfIssue 6
dc.relation.ispartofPubTitle Surgical Neurology
dc.relation.ispartofPubTitleAbbr Surg. Neurol.
dc.relation.ispartOfVolume 64
dc.source.ID WOS:000233734400005
dc.type.publication Journal
dc.subject.otherAuthKeyword Failed back surgery
dc.subject.otherAuthKeyword Fibrosis
dc.subject.otherAuthKeyword Oswestry Disability Questionnaire
dc.subject.otherAuthKeyword Recurrent disk
dc.subject.otherAuthKeyword Spinal instability
dc.subject.otherIndex adhesion
dc.subject.otherIndex adult
dc.subject.otherIndex aged
dc.subject.otherIndex article
dc.subject.otherIndex clinical article
dc.subject.otherIndex clinical trial
dc.subject.otherIndex failed back surgery syndrome
dc.subject.otherIndex female
dc.subject.otherIndex follow up
dc.subject.otherIndex human
dc.subject.otherIndex male
dc.subject.otherIndex minimal residual disease
dc.subject.otherIndex nerve decompression
dc.subject.otherIndex patient selection
dc.subject.otherIndex postoperative period
dc.subject.otherIndex preoperative period
dc.subject.otherIndex prospective study
dc.subject.otherIndex questionnaire
dc.subject.otherIndex recurrent disease
dc.subject.otherIndex scoring system
dc.subject.otherIndex spine fusion
dc.subject.otherIndex spine surgery
dc.subject.otherIndex surgical patient
dc.subject.otherIndex syndrome
dc.subject.otherIndex treatment failure
dc.subject.otherIndex treatment outcome
dc.subject.otherIndex Adult
dc.subject.otherIndex Aged
dc.subject.otherIndex Back Pain
dc.subject.otherIndex Disabled Persons
dc.subject.otherIndex Female
dc.subject.otherIndex Fibrosis
dc.subject.otherIndex Humans
dc.subject.otherIndex Intervertebral Disk Displacement
dc.subject.otherIndex Joint Instability
dc.subject.otherIndex Male
dc.subject.otherIndex Middle Aged
dc.subject.otherIndex Patient Satisfaction
dc.subject.otherIndex Patient Selection
dc.subject.otherIndex Postoperative Complications
dc.subject.otherIndex Prognosis
dc.subject.otherIndex Prospective Studies
dc.subject.otherIndex Quality of Life
dc.subject.otherIndex Syndrome
dc.subject.otherIndex Treatment Outcome
dc.subject.otherKeywordPlus LUMBAR SPINE SURGERY
dc.subject.otherKeywordPlus 5-YEAR FOLLOW-UP
dc.subject.otherKeywordPlus CONTRAST-ENHANCED CT
dc.subject.otherKeywordPlus CORD STIMULATION
dc.subject.otherKeywordPlus DISK SURGERY
dc.subject.otherKeywordPlus PAIN
dc.subject.otherKeywordPlus MR
dc.subject.otherKeywordPlus FUSION
dc.subject.otherKeywordPlus SCAR
dc.subject.otherKeywordPlus REOPERATION
dc.subject.otherWOS Clinical Neurology
dc.subject.otherWOS Surgery

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