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Asian Spine Journal ; : 1195-1204, 2016.
Artículo en Inglés | WPRIM | ID: wpr-43908

RESUMEN

Failed back surgery syndrome (FBSS) is complex and recurrent chronic pain after spinal surgery. Several important patient and surgery related risk factors play roles in development of FBSS. Inadequate selection of the candidates for the spinal surgeries is one of the most crucial causes. The guidelines suggest that conservative management featuring pharmacologic approaches and rehabilitation should be introduced first. For therapy-refractory FBSS, spinal cord stimulation (SCS) is recommended in selected patients. Treatment efficacy for FBSS has increased over the years with the majority of patients experiencing pain relief and reduced medicinal load. Improved quality of life can also be achieved using SCS. Cost-effectiveness of SCS still remains unclear. However evidence for SCS role in FBSS is controversial, SCS can be beneficial for carefully classified patients.


Asunto(s)
Humanos , Dolor Crónico , Síndrome de Fracaso de la Cirugía Espinal Lumbar , Dolor de la Región Lumbar , Manejo del Dolor , Calidad de Vida , Rehabilitación , Factores de Riesgo , Estimulación de la Médula Espinal , Médula Espinal , Resultado del Tratamiento
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