Failed Back Surgery Syndrome

A Comprehensive Guide to the Literature for Personal Injury Lawyers

Publisher: Medifocus Legal
Publication Date: August 18, 2016
Number of Pages: 148
Failed back surgery syndrome (FBSS), also known as post-laminectomy syndrome, is the term used to describe the condition of patients who have not had a successful outcome with back surgery and have continued to experience persistent, chronic pain after surgery. Although FBSS can develop from any type of back (spinal) surgery, it develops most commonly after a lumbar laminectomy the goal of which is to enlarge the spinal canal to decompress and relieve pressure on the spinal cord or spinal nerves. Studies have shown that multiple factors can contribute to the development of FBSS that include:

* Improper patient selection for back surgery in whom the surgery was never indicated.
* Recurrent disc herniation after surgery.
* Technical error during spine surgery where a fragment of a herniated disc was missed or a piece of bone was left behind adjacent to a nerve resulting in nerve root compression.
* Underlying patient factors such as smoking or diabetes which impedes healing after surgery.

Currently there is no standard treatment for FBSS and treatment may be protracted as well as costly. Treatment options for FBSS include physical therapy, chiropractic manipulation, electrical neuromuscular stimulation, transcutaneous electrical nerve stimulation (TENS), pain medications, and intrathecal morphine pump. Patients with FBSS who fail to achieve pain relief with these treatment modalities may require additional surgery if imaging studies reveal an underlying pathology such as a recurrent disc herniation, spinal stenosis, or epidural postoperative fibrosis.

Persistent, chronic pain that is the hallmark feature of FBSS also takes a significant emotional and mental toll on individuals who develop this syndrome. Although FBSS does not directly cause depression, it is often linked with the development of depression because patients feel hopeless after their last resort treatment doesn't work or it leaves them in worse pain than before their surgery. This results in a significantly diminished quality of life and, in some cases, inhibits their ability to return to work, particularly in jobs that require intense physical labor.

The MediFocus Literature Guide to Failed Back Surgery Syndrome is a comprehensive reference guide to the medical literature for personal injury attorneys who may be involved in litigating failed back surgery cases. This unique Guide consists of nearly 150 hand-selected references published in peer-reviewed journals with links to the article abstracts and full-text sources. You also receive FREE online access to full-text copies of 45 journal articles - an estimated value of about $1,350 based on the average cost of the individual articles. The articles referenced in the Guide focus on all major aspects of FBSS that have been documented and reported in the medical literature over the past decade.


Failed Back Surgery Syndrome is a one-of-a-kind literature reference Guide that includes:

• A comprehensive bibliography of 148 journal article references indexed in MEDLINE published in well respected medical and scientific journals.
• Online access to the abstracts (summaries) of the articles.
• Online access to the free full-text version of 45 articles.
• Links to full-text sources of other articles that are available for purchase directly from individual journal publishers.
• A unique "Author Directory" consisting of the names and institutional affiliations of experts who have published and have specialized knowledge about Failed Back Surgery Syndrome. The "Author Directory" is a valuable resource for quickly identifying and locating experts for case reviews, opinions, and testimony.

Select examples of topics that are covered by the articles referenced in this Guidebook include:

• Failed back surgery syndrome in patients receiving workers' compensation.
• Spinal cord stimulation in patients with failed back surgery syndrome.
• A retrospective review of patient selection and failures in failed back surgery syndrome.
• Optimal medical, rehabilitation, and behavioral management in the setting of failed back surgery syndrome.
• Diagnosis and surgical management of patients with failed back surgery syndrome caused by herniated disc relapse.
• Epidural lysis of adhesions for failed back surgery and spinal stenosis: factors associated with treatment outcome.
• Interventional pain management for patients with failed back surgery syndrome.
• Clincal outcome of instrumented fusion for the treatment of failed back surgery syndrome.
• An analysis of reasons for failed back surgery syndrome after different types of surgical lumbar nerve root decompression.
• Long-term intrathecal infusion of opiates for treatment of failed back surgery syndrome.
• Incidence and severity of epidural fibrosis after back surgery.
• Health-related quality of life, pain, and functional disability in patients with failed back surgery syndrome.
• Surgical and nonsurgical approaches to failed back surgery syndrome.
• The etiology and diagnostic evaluation of failed back surgery syndrome.

The MediFocus Literature Guide on Failed Back Surgery Syndrome is available in two formats:
PDF Format (available for immediate download to your computer) List Price: $ 134.95 Less Discount: $ 65.00 Your Discounted Price: $ 69.95	Soft-Cover Book (includes free PDF download plus free shipping in United States) List Price: $ 164.95 Less Discount: $ 65.00 Your Discounted Price: $ 99.95
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