Abstract
The paper presents a literature review on failed back surgery syndrome (FBSS). According to statistics, the proportion of cases of back pain recurrence after lumbar spine surgery ranges from 15 to 50 %. There are many causes of the FBSS development, the most common of these are misdiagnosis and incorrect selection of candidates for surgery. In accordance with international clinical protocols, FBSS is an indication for chronic epidural spinal cord stimulation (SCS) in case of conservative treatment failure, absence of direct unconditioned indications for reoperation, and neurogenic pain. High efficiency and economic feasibility of the given method is proved in multiple studies including in well-organized evidence-based researches. The wide international experience allows making assertions about long-term and stable analgesic effect of chronic electric stimulation of the spinal cord. It must be remembered that delaying a decision on application of the SCS method leads to poor results in catamnesis. In advanced cases, a care to such patients becomes simply impossible due to the centralization of pain syndromes.
Highlights
In accordance with international clinical protocols, failed back surgery syndrome (FBSS) is an indication for chronic epidural spinal cord stimulation (SCS) in case of conservative treatment failure, absence of direct unconditioned indications for reoperation, and neurogenic pain
High efficiency and economic feasibility of the given method is proved in multiple studies including in well-organized evidence-based researches
It must be remembered that delaying a decision on application of the SCS method leads to poor results in catamnesis
Summary
Хроническая электростимуляция спинного мозга в лечении синдрома оперированного позвоночника. FBSS является показанием к хронической эпидуральной стимуляции спинного мозга (SCS) при неэффективности консервативного лечения, отсутствии прямых безусловных показаний к повторной операции и нейрогенном характере боли. Ключевые слова: хроническая боль в спине, боль после операций на позвоночнике, синдром оперированного позвоночника, стимуляция спинного мозга. Chronic electrical stimulation of the spinal cord in the treatment of failed back surgery syndrome I.D. Isagulyan, V.A. Shabalov. In accordance with international clinical protocols, FBSS is an indication for chronic epidural spinal cord stimulation (SCS) in case of conservative treatment failure, absence of direct unconditioned indications for reoperation, and neurogenic pain. Словосочетание «синдром оперированного позвоночника» (шифр F45.4 по МКБ-10) пришло к нам из западной литературы, где широко используется термин Failed Back Surgery Syndrome – FBSS Электростимуляция спинного мозга в лечении синдрома оперированного позвоночника
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