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Failed Back Surgery Syndrome (FBSS) Treatment

What is Failed Surgery Spinal Pain?

An unfortunate reality for some patients is to find that their pain has worsened after surgery. In some cases, the pain may even intensify beyond pre-surgery levels, with symptoms resurfacing shortly or even months afterward. This condition is known as failed back surgery or failed surgery spinal pain, and it can impact any area of your spine, causing frustration for both you and your surgeon.

    How Frequent is Failed Surgery Spinal Pain?

    In addition to recognizing the symptoms of failed back surgery, you should also understand the statistics. Studies show failed back surgery cases range from 10% to 40% after lumbar laminectomy surgeries and 5% to 36% after discectomy (lumbar herniated disc) procedures.

    Having another surgery isn’t always the solution. Success rates decline with each subsequent procedure after failed back surgery, dropping to 30% for the second, 15% for the third, and only 5% for the fourth.

    Risk Factors

    Risk factors for failed surgery spinal pain can arise before, during, or after the procedure.

    Before Surgery (Preoperative)

    The following preoperative factors may result in failed back surgery:

    • Smoking
    • Obesity
    • Emotional or mental disorders
    • Chronic pain (fibromyalgia)
    • Poor surgical planning

    During Surgery (Intraoperative)

    These intraoperative risk factors may lead to failed back surgery syndrome:

    • The wrong level of the surgery
    • Inadequate space around the spinal cord/nerves
    • Excessive space around the spinal cord/nerves

    After Surgery (Postoperative)

    The following postoperative factors may cause failed back surgery syndrome:

    • Spinal infection
    • Recurrent original diagnosis
    • Pseudoarthrosis
    • Epidural fibrosis
    • Spinal nerve root irritation
    • Adjacent segment disease

    Updated on Jun 25, 2024 by Pro Spine & Pain

    Pro Spine and Pain Team

    The interventional pain management physicians at Pro Spine & Pain are Ivy League-educated and trained. Recognized as Castle Connolly Top Doctors—a prestigious national accolade—we offer minimally invasive procedures to alleviate your pain and help you resume daily activities. Additionally, we specialize in regenerative medicine to initiate the healing process once you’re pain-free. Trusted by over 10,000 patients in Wisconsin, our team leverages multiple modalities to address your pain, including managing post-operative pain from previous surgeries. Our doctors prioritize upholding each patient’s dignity while delivering ethical and professional services.

    Our Team