REVIEW ARTICLE


Failed Back Surgery Syndrome: An Updated Review



Abdelilah Rhoul1, *, Mohammed Gartit1, Mohammed Noumairi1, Siham EL. Mir1, Ahmed Amine EL Oumri1
1 Department of Physical Medicine and Rehabilitation, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco


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Creative Commons License
© 2023 Rhoul et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Physical Medicine and Rehabilitation, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; E-mail: abdelilahrhoul@gmail.com


Abstract

Background:

Failed Back Surgery Syndrome (FBSS) is a known condition with severe morbidity. Usually described as pain that either does not improve or worsen after back surgery. Although many possible causes leading back pain to persist after surgery were described, the exact pathology remains not elucidated and the management could be very challenging.

Objectives:

This review aims to discuss different causes of this syndrome besides the different current therapeutic approaches.

Conclusion:

A good assessment of the clinical presentation based on the history of pain and physical examination in addition to the MRI input, help to detect the cause of the persistent pain. The therapeutic options are wide, from pharmacological to interventional methods. Nevertheless, a multidisciplinary approach is frequently needed to treat FBSS patients.

Keywords: Failed back surgery syndrome, Post lumbar surgery syndrome, Persistent spinal pain, Back pain, Back surgery, Chronic pain.