Abstract

Failed back surgery syndrome (FBSS) is afrequent complication (15-40 %) of lumbar disc surgery and is rarely successfully treated by surgery with the exception of are-prolapse associated with radicular pain. Multimodal pain treatment, however, is indicated by alack of pathoanatomical correlates, unclear cause and psychosocial risk factors.This review describes astandardized non-operative treatment starting with broad interdisciplinary clarification by medical, psychological and physiotherapeutic means (assessment).If the conditions for multimodal pain therapy are met, the OPS 8‑918-procedure can be applied to avoidchronic developing pain. In doing so, the already issued quality standards and guidelines for documentation should be respected.

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