STUDY DESIGN Systematic review. OBJECTIVES To assess efficacy and safety of spinal cord stimulation in patients with chronic leg and back pain and failed back surgery syndrome and to examine prognostic factors that predict spinal cord stimulation outcome. SUMMARY OF BACKGROUND DATA A previous systematic review of spinal cord stimulation in patients with chronic back and leg pain and failed ...

Daniel Aghion, MD, Pradeep Chopra, MD, Adetokunbo A. Oyelese, MD, PhD  approximately 250,000 surgeries for low back pain are performed annually in the USA. Approximately 40% of patients undergoing lumbar surgery continue to report significant pain after surgery, and a significant portion of these will result in failed back syndrome (FBS). FBS is defined as persistent or recurrent chronic pain ...

PURPOSE To assess the association of serum 25-hydroxy-calciferol levels with pain and low back function in patients with failed back surgery syndrome. METHODS Records of 6 men and 3 women aged 25 to 54 (mean, 39.2) years who had failed back surgery syndrome after pedicular screw and rod instrumentation for lower lumbar degenerative diseases were reviewed. They had moderate-to-severe pain (vis...

Patients who suffer from the condition known as failed back surgery syndrome (FBSS) present to the offices of physicians, surgeons, and pain specialists alike in overwhelming numbers. This condition has been defined as persistent back and/or leg pain despite having completed spinal surgery. As lumbar surgery continues to grow in prevalence, so will the number patients suffering from FBSS. It is...

Women of child-bearing age who are candidates for trial and possible implantation of a spinal cord stimulator (SCS) may express concerns regarding its effect on their ability to become pregnant, to maintain a pregnancy and to breastfeed. Despite the large number of SCS implanted worldwide there is a paucity of data regarding its effect on fertility and the course of the pregnancy. We describe a...

INTRODUCTION This observational study was designed to evaluate the efficacy of ultramicronized palmitoylethanolamide (um-PEA) (Normast®) administration, as add-on therapy for chronic pain, in the management of pain-resistant patients affected by failed back surgery syndrome. METHODS A total of 35 patients were treated with tapentadol (TPD) and pregabalin (PGB). One month after the start of st...

We conducted a cross-sectional, Internet-based survey with a nationally representative sample of Japanese adults to assess the prevalence and characteristics of failed back surgery syndrome (FBSS). Data regarding the residual symptoms and patient satisfaction from an online survey of 1842 lumbar surgery patients revealed the prevalence of FBSS to be 20.6% (95% confidence interval [CI], 18.8-22....