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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
TERMINOLOGY
Abbreviations
Failed back surgery syndrome (FBSS)
Definitions
Continued low back pain ± radicular pain after lumbar surgery
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nonvascular Interventions
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Daniell JR et al: Failed back surgery syndrome: a review article. Asian Spine J. 12(2):372-9, 2018
Baber Z et al: Failed back surgery syndrome: current perspectives. J Pain Res. 9:979-87, 2016
Hussain A et al: Interventional pain management for failed back surgery syndrome. Pain Pract. 14(1):64-78, 2014
Karppinen J et al: Management of degenerative disk disease and chronic low back pain. Orthop Clin North Am. 42(4):513-28, viii, 2011
Chou R et al: Nonsurgical interventional therapies for low back pain: a review of the evidence for an American Pain Society clinical practice guideline. Spine (Phila Pa 1976). 34(10):1078-93, 2009
Frey ME et al: Spinal cord stimulation for patients with failed back surgery syndrome: a systematic review. Pain Physician. 12(2):379-97, 2009
Ragab A et al: Management of back pain in patients with previous back surgery. Am J Med. 121(4):272-8, 2008
Schofferman J et al: Failed back surgery: etiology and diagnostic evaluation. Spine J. 3(5):400-3, 2003
Van Goethem JW et al: Review article: MRI of the postoperative lumbar spine. Neuroradiology. 44(9):723-39, 2002
Anderson SR: A rationale for the treatment algorithm of failed back surgery syndrome. Curr Rev Pain. 4(5):395-406, 2000
Anderson VC et al: Failed back surgery syndrome. Curr Rev Pain. 4(2):105-11, 2000
Van Goethem JW et al: Imaging findings in patients with failed back surgery syndrome. J Belge Radiol. 80(2):81-4, 1997
Fritsch EW et al: The failed back surgery syndrome: reasons, intraoperative findings, and long-term results: a report of 182 operative treatments. Spine. 21(5):626-33, 1996
Georgy BA et al: Fat-suppression contrast-enhanced MRI in the failed back surgery syndrome: a prospective study. Neuroradiology. 37(1):51-7, 1995
Kim SS et al: Revision surgery for failed back surgery syndrome. Spine. 17(8):957-60, 1992
Long DM: Failed back surgery syndrome. Neurosurg Clin N Am. 2(4):899-919, 1991
North RB et al: Failed back surgery syndrome: 5-year follow-up in 102 patients undergoing repeated operation. Neurosurgery. 28(5):685-90; discussion 690-1, 1991
Ross JS et al: MR imaging of the postoperative lumbar spine: assessment with gadopentetate dimeglumine. AJNR Am J Neuroradiol. 11(4):771-6, 1990
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
TERMINOLOGY
Abbreviations
Failed back surgery syndrome (FBSS)
Definitions
Continued low back pain ± radicular pain after lumbar surgery
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nonvascular Interventions
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Daniell JR et al: Failed back surgery syndrome: a review article. Asian Spine J. 12(2):372-9, 2018
Baber Z et al: Failed back surgery syndrome: current perspectives. J Pain Res. 9:979-87, 2016
Hussain A et al: Interventional pain management for failed back surgery syndrome. Pain Pract. 14(1):64-78, 2014
Karppinen J et al: Management of degenerative disk disease and chronic low back pain. Orthop Clin North Am. 42(4):513-28, viii, 2011
Chou R et al: Nonsurgical interventional therapies for low back pain: a review of the evidence for an American Pain Society clinical practice guideline. Spine (Phila Pa 1976). 34(10):1078-93, 2009
Frey ME et al: Spinal cord stimulation for patients with failed back surgery syndrome: a systematic review. Pain Physician. 12(2):379-97, 2009
Ragab A et al: Management of back pain in patients with previous back surgery. Am J Med. 121(4):272-8, 2008
Schofferman J et al: Failed back surgery: etiology and diagnostic evaluation. Spine J. 3(5):400-3, 2003
Van Goethem JW et al: Review article: MRI of the postoperative lumbar spine. Neuroradiology. 44(9):723-39, 2002
Anderson SR: A rationale for the treatment algorithm of failed back surgery syndrome. Curr Rev Pain. 4(5):395-406, 2000
Anderson VC et al: Failed back surgery syndrome. Curr Rev Pain. 4(2):105-11, 2000
Van Goethem JW et al: Imaging findings in patients with failed back surgery syndrome. J Belge Radiol. 80(2):81-4, 1997
Fritsch EW et al: The failed back surgery syndrome: reasons, intraoperative findings, and long-term results: a report of 182 operative treatments. Spine. 21(5):626-33, 1996
Georgy BA et al: Fat-suppression contrast-enhanced MRI in the failed back surgery syndrome: a prospective study. Neuroradiology. 37(1):51-7, 1995
Kim SS et al: Revision surgery for failed back surgery syndrome. Spine. 17(8):957-60, 1992
Long DM: Failed back surgery syndrome. Neurosurg Clin N Am. 2(4):899-919, 1991
North RB et al: Failed back surgery syndrome: 5-year follow-up in 102 patients undergoing repeated operation. Neurosurgery. 28(5):685-90; discussion 690-1, 1991
Ross JS et al: MR imaging of the postoperative lumbar spine: assessment with gadopentetate dimeglumine. AJNR Am J Neuroradiol. 11(4):771-6, 1990
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