Asian Spine J.  2016 Dec;10(6):1195-1204. 10.4184/asj.2016.10.6.1195.

Spinal Cord Stimulation in Failed Back Surgery Syndrome: Review of Clinical Use, Quality of Life and Cost-Effectiveness

• Waszak PM
• Modrić M
• Paturej A
• Malyshev S
• Przygocka
• Garnier H
• Szmuda T

• KMID: 2362199
• DOI: http://doi.org/10.4184/asj.2016.10.6.1195

Abstract

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.

Keyword

Spinal cord stimulation; Failed back surgery syndrome; Low back pain; Pain management

MeSH Terms

Chronic Pain
Failed Back Surgery Syndrome*
Humans
Low Back Pain
Pain Management
Quality of Life*
Rehabilitation
Risk Factors
Spinal Cord Stimulation*
Spinal Cord*
Treatment Outcome