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Journal of Korean Neurosurgical Society 1993;22(1): 48-57.
Clinical Evaluation of Failed Back Surgery Syndrome(FBSS).
Hyoung Chun Park, Young Soo Kim
Department of Neurosurgery, Yonsei University, College of Medicine, Seoul, Korea.
ABSTRACT
The authors experienced 186 cases of Failed Back Surgery Syndrome(FBSS), which were 2.5% of all admitted patients in authors' clinic from 1983 to 1992. Among them, 173 patients were referred cases from other hospital and 13 patients were authors' cases which was 0.2% of authors' back surgery. About 75% of all was come to our clinic within 2 years after initial operation. The common cause of FBSS was resulted form inadequate surgery or surgical complications (51%). In these cases, incomplete decompression at initial operation was seemed to be a major factor. The next causes was due to inadequate patient selection(26.3%) and the FBSS was more prevalent when the patient had only back pain without leg pain. The other causes of FBSS was post-operative adhesion(8.6%), discitis(4.3%), and inadequate diagnosis(4.3%). So about 80% of FBSS seem to have preventable causes. 66 of 186 cases was performed reoperation and 70% of them had improvement.
Key Words: Failed back surgery syndrome(FBSS); Failed back surgery patients(FBSP); Recurrent disc; Neurogenic intermittent claudication(NIC); CT scan; Chemonucleolysis
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