Recommended protocol for failed back surgery syndrome

Failed back surgery syndrome (FBSS) is many a times an intractable problem confronted in patients with surgical disease of lumbar spine and at the same time is a pressing problem for the physicians as well. This clinical entity is defined as continuation of pain in the lumbar region and lower extrem...

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Main Authors: Fakhr Tabatabaei SA, Shirani M
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 1996-06-01
Series:Tehran University Medical Journal
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/5956.pdf&manuscript_id=5956
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author Fakhr Tabatabaei SA
Shirani M
author_facet Fakhr Tabatabaei SA
Shirani M
author_sort Fakhr Tabatabaei SA
collection DOAJ
description Failed back surgery syndrome (FBSS) is many a times an intractable problem confronted in patients with surgical disease of lumbar spine and at the same time is a pressing problem for the physicians as well. This clinical entity is defined as continuation of pain in the lumbar region and lower extremities following surgery of the lumbar spine. Knowledge of the etiological factors and their prevention is the best line of treatment to overcome the evolution of this syndrome. During this study, which was conducted in Imam Khomeini hospital Tehran from the year 1989 till 1990, 43 out of 114 patients developed "FBSS". 23 cases responded to conservative treatment and psychotherapy whereas medical treatment failed to achieve fruitful results in the rest. The latter underwent extensive radiological investigations and repeat surgery. According to this study, we recommend that in the initial management of these patients. The surgeon should observe the dictum of "5-mis" to overcome and minimize the "FBSS" entity
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spelling doaj.art-17af1c06ba984e4882c99b7c4fd117f52022-12-21T21:03:31ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73221996-06-015411823Recommended protocol for failed back surgery syndromeFakhr Tabatabaei SAShirani MFailed back surgery syndrome (FBSS) is many a times an intractable problem confronted in patients with surgical disease of lumbar spine and at the same time is a pressing problem for the physicians as well. This clinical entity is defined as continuation of pain in the lumbar region and lower extremities following surgery of the lumbar spine. Knowledge of the etiological factors and their prevention is the best line of treatment to overcome the evolution of this syndrome. During this study, which was conducted in Imam Khomeini hospital Tehran from the year 1989 till 1990, 43 out of 114 patients developed "FBSS". 23 cases responded to conservative treatment and psychotherapy whereas medical treatment failed to achieve fruitful results in the rest. The latter underwent extensive radiological investigations and repeat surgery. According to this study, we recommend that in the initial management of these patients. The surgeon should observe the dictum of "5-mis" to overcome and minimize the "FBSS" entityhttp://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/5956.pdf&manuscript_id=5956
spellingShingle Fakhr Tabatabaei SA
Shirani M
Recommended protocol for failed back surgery syndrome
Tehran University Medical Journal
title Recommended protocol for failed back surgery syndrome
title_full Recommended protocol for failed back surgery syndrome
title_fullStr Recommended protocol for failed back surgery syndrome
title_full_unstemmed Recommended protocol for failed back surgery syndrome
title_short Recommended protocol for failed back surgery syndrome
title_sort recommended protocol for failed back surgery syndrome
url http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/5956.pdf&manuscript_id=5956
work_keys_str_mv AT fakhrtabatabaeisa recommendedprotocolforfailedbacksurgerysyndrome
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