Treatment Options for Failed Back Surgery Syndrome Patients With Refractory Chronic Pain: An Evidence Based Approach

Spine
Kasra AmirdelfanPorter McRoberts

Abstract

A significant number of lumbar postsurgical patients continue to suffer persistent pain and limited function and are termed to have "Failed back surgery syndrome" (FBSS). This review evaluates clinical trial data for the treatment of FBSS patients. Using an evidence-based approach to evaluate FBSS treatments will assist clinicians in choosing the most effective options for FBSS patients. Furthermore, reducing the utilization of less effective therapies may result in substantial financial savings for this patient population. Treatments for FBSS may be generally categorized as physical therapy and exercise, medications, interventional procedures, neuromodulation, and reoperation. Careful review and classification of the level of evidence available for each category of treatment for FBSS patients will help guide clinical decision-making. A literature review was performed for FBSS treatments. The publications were arranged hierarchically according to the North American Spine Society's guidelines as randomized controlled trials (RCTs), prospective studies, retrospective chart, and systematic reviews. Book chapters, nonsystematic reviews, and expert opinions were excluded. The review focused on studies with at least 20 FBSS patients ...Continue Reading

Associated Clinical Trials

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Citations

Sep 1, 2018·Cell Transplantation·Yuan-Chuan ChenShiu-Jau Chen
Apr 29, 2018·Neuromodulation : Journal of the International Neuromodulation Society·Sam S EldabeEric Buchser
May 23, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·İlker SolmazDeniz Gül
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Aug 6, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Volker M TronnierHerman J Stoevelaar
Sep 3, 2020·Acta neurochirurgica·Ralf WeigelJoachim K Krauss
Mar 27, 2019·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Philippe RigoardSam Eldabe
Jun 4, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Terje KirketeigTimothy Deer
Dec 5, 2020·Pain Practice : the Official Journal of World Institute of Pain·Matthijs W GeudekeMienke Rijsdijk
Aug 28, 2021·Journal of Clinical Medicine·Lisa GoudmanMaarten Moens

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