Spine Surgeons’ Role in Preventing Failed Back Syndrome

Este artículo es originalmente publicado en:
http://www.spineuniverse.com/treatments/surgery/spine-surgeons-role-preventing-failed-back-syndrome

Do all roads lead back to the operating room when it comes to failed back surgery?

Written by Ralph F Rashbaum, MD

SpineUniverse: Do all roads lead back to the operating room when it comes to failed back surgery?

Dr. Rashbaum:
A failed back surgery implies that the patient had surgery, and then following that surgery, they come back with a situation where their symptoms persist or have gotten worse.

So here’s the question:
Is it from a surgical misadventure; in other words, was the nerve root brutalized or beaten in an effort to get the root out of the way to take the herniation out? This can happen at times, but let’s not forget that these roots were sensitized by virtue of the process of herniating the disc. The nerve roots swell and become hypersensitive.

If you bang your tibia, it becomes real sensitive; you don’t want to touch it. Nerve roots respond in exactly the same way. Or, is failed back surgery brought on because a fragment of the disc that should have been removed wasn’t? In other words, is surgeon error to blame?

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