![]() Excellent results were obtained in 69% and good results in 13%. Epstein reported on 290 patients treated over a 25-year period. At follow-up varying between 18 and 71 months after surgery, 20 out of the 24 patients reported a good result. Herron and Trippi evaluated 24 patients, all with degenerative spondylolisthesis treated with laminectomy alone. found that a concomitant spinal arthrodesis (fusion) had a greater success rate. ![]() A similarly designed study by Mardjekto et al. There was a better result in patients who had a degenerative spondylolisthesis. ![]() There was, however, a wide variation in outcomes reported. Good to excellent results were on average reported by 64% of the patients. published a survey of 74 journal articles which reported the results after decompression for spinal stenosis. Hakelius reported a 3% incidence of serious nerve root damage. Inadequate or inappropriate surgical exposure can lead to other problems in not getting to the underlying pathology. Occasionally operating on the wrong level occurs, as does failure to recognize an extruded or sequestered disc fragment. Removal of a disc, while not addressing the underlying presence of stenosis, can lead to disappointing results. Lumbar spinal stenosis may be overlooked, especially when it is associated with disc protrusion or herniation. The second group includes patients who had incomplete or inadequate operations. Patients whose pain complaints are of a radicular nature have a better chance for a good outcome than those whose pain complaints are limited to pain in the back. The first group comprise those in whom surgery was not actually indicated or the surgery performed was not likely to achieve the desired result, and those in whom surgery was indicated but which technically did not achieve the intended result. Patients who have undergone one or more operations on the lumbar spine and continue to experience pain afterward can be divided into two groups. Spinal surgeons operating on a patient's back. Success rates of spinal surgery vary for many reasons. Recently, there have been calls for more aggressive surgical treatment in Europe. The United States and the Netherlands report the highest number of spinal surgeries, while the United Kingdom and Sweden report the fewest. ![]() The number of spinal surgeries varies around the world. The targeted anatomic use of a potent anti-inflammatory anti-TNF therapeutics is being investigated. Use of epidural steroid injections may be minimally helpful in some cases. The treatments of post-laminectomy syndrome include physical therapy, microcurrent electrical neuromuscular stimulator, minor nerve blocks, transcutaneous electrical nerve stimulation (TENS), behavioral medicine, non-steroidal anti-inflammatory (NSAID) medications, membrane stabilizers, antidepressants, spinal cord stimulation, and intrathecal morphine pump. The term "post-laminectomy syndrome" is used by some doctors to indicate the same condition as failed back syndrome. Abnormal sensibility may include sharp, pricking, and stabbing pain in the extremities. An individual may be predisposed to the development of FBS due to systemic disorders such as diabetes, autoimmune disease and peripheral blood vessels (vascular) disease.Ĭommon symptoms associated with FBS include diffuse, dull and aching pain involving the back or legs. Many factors can contribute to the onset or development of FBS, including residual or recurrent spinal disc herniation, persistent post-operative pressure on a spinal nerve, altered joint mobility, joint hypermobility with instability, scar tissue ( fibrosis), depression, anxiety, sleeplessness, spinal muscular deconditioning and even Cutibacterium acnes infection. Failed back syndrome or post-laminectomy syndrome is a condition characterized by chronic pain following back surgeries.
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