J Korean Radiol Soc.  1993 Oct;29(5):1045-1050.

MR findings of failed back surgery syndrome

Abstract

Recurrent disc herniation and postoperative fibrosis are the main disease entities causing failed back surgery syndrome (FBSS) and magnetic resonance (MR) imaging has become a major diagnostic modality in differentiating the two. To observe the variable entities of FBSS and their MR findings, we retrospectively analyzed 15 MR images in 12 patients. The causes of FBSS were as follows; normal (no organic cause), fibrosis, new or recurrent disc herniation, discitis, osteomyelitis, inflammation at operation site, epidural abscess, arachnoiditis, and hematoma. Except a case of hematoma, gadolinium enhancement scan was necessary and informative in the diagnosis of FBSS and MR imaging only was not enough in the diagnosis of arachnoiditis.


MeSH Terms

Arachnoid
Arachnoiditis
Diagnosis
Discitis
Epidural Abscess
Failed Back Surgery Syndrome*
Fibrosis
Gadolinium
Hematoma
Humans
Inflammation
Magnetic Resonance Imaging
Osteomyelitis
Retrospective Studies
Gadolinium
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