Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Consensus Statement on Definition and Outlines for Patient Assessment

Failed back surgery syndrome (FBSS) is a controversial term for identifying patients affected by new, recurrent, or persistent pain in the low back and/or legs following spinal surgery. The lack of a comprehensive standardized care pathway compromises the appropriate management of FBSS patients, whi...

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Bibliographic Details
Published in:Pain research & management 2019-01, Vol.2019 (2019), p.1-12
Main Authors: Eldabe, Sam, Naiditch, Nicolas, Duyvendak, Wim, Deneuville, Jean-Philippe, Gatzinsky, Kliment, Rigoard, Philippe, Van Buyten, Jean-Pierre
Format: Article
Language:English
Subjects:
Acoustics
Automatic
Back pain
Back surgery
Biomechanics
Chemical Sciences
Chronic illnesses
Consensus
Coping
Decision-making
Electric power
Electromagnetism
Engineering Sciences
Failed Back Surgery Syndrome - diagnosis
Failed Back Surgery Syndrome - therapy
Fluid mechanics
Humans
Interdisciplinary aspects
International economic relations
Material chemistry
Materials and structures in mechanics
Mathematical Physics
Mechanics
Medical equipment and supplies industry
Medical libraries
Medical test kit industry
Patient assessment
Physics
Polymers
Psychological aspects
Quantum Physics
Reactive fluid environment
Review
Surgery
Thermics
Vibrations
Vocabularies & taxonomies
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Description
Summary:Failed back surgery syndrome (FBSS) is a controversial term for identifying patients affected by new, recurrent, or persistent pain in the low back and/or legs following spinal surgery. The lack of a comprehensive standardized care pathway compromises the appropriate management of FBSS patients, which is associated with a heavy financial burden. An international panel of spine surgeons, neurosurgeons, and pain specialists with a particular interest in FBSS established the chronic back and leg pain (CBLP) network with the aim of addressing the challenges and barriers in the clinical management of FBSS patients by building a common transdisciplinary vision. Based on literature reviews, additional input from clinical expertise of multiple professional disciplines, and consensus among its members, the network attempted to provide recommendations on the management of patients with FBSS utilizing a multidisciplinary team (MDT) approach. The presentation of this work has been divided in two separate parts to enhance its clarity. This first paper, in favour of selecting appropriate validated tools to improve the FBSS patient assessment, focuses on FBSS taxonomy and its clinical implications for evaluation. Concise recommendations for assessment, treatment, and outcome evaluation using a MDT approach would be an important resource for specialists and nonspecialist clinicians who manage patients with FBSS, to improve decision-making, reduce variation in practice, and optimize treatment outcomes in this difficult-to-treat population.
ISSN:1203-6765
1918-1523
1918-1523
DOI:10.1155/2019/3126464