Failed Back Surgery Syndrome

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Synonyms
FBSS, Persistent Spinal Pain Syndrome, PSPS, Chronic pain after spinal surgery, CPSS

The term Failed Back Surgery Syndrome (FBSS), or Persistent Spinal Pain Syndrome according to the newer terminology[^4], has been known since spinal surgery was first performed. According to the definition by Follet and Dirks[^1], it refers to the exhaustion of surgical options for lower back pain, radicular pain, or a combination of both after one or more surgeries without improvement.

Terminology

A newer definition is intended to replace the term FBSS with Persistent Spinal Pain Syndrome (PSPS), which also includes the group of Chronic Pain after Spinal Surgery (CPSS)[^3] [^4].

Treatment

One treatment option is Spinal Cord Stimulation (SCS), particularly when a radicular and neuropathic pain component is present[^2].

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Who created and updated this article, and which changes are documented.

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Edit · Alaric Steinmetz ·

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  • Text changed: “The term Failed Back Surgery Syndrome (FBSS), also referred to as Persistent Spinal Pain Syndrome under the newer terminology[^4], has been known since spinal procedures have been performed. According to the definition by Follet and Dirks[^1], it refers to the exhaustion of surgical options for low back pain, radicular pain, or a combination of both after one or more operations without improvement.”“The term Failed Back Surgery Syndrome (FBSS), or Persistent Spinal Pain Syndrome according to the newer terminology[^4], has been known since spinal surgery was first performed. According to the definition by Follet and Dirks[^1], it refers to the exhaustion of surgical options for lower back pain, radicular pain, or a combination of both after one or more surgeries without improvement.”
  • Text changed: “A newer definition proposes replacing the term FBSS with Persistent Spinal Pain Syndrome (PSPS), which also includes the group of Chronic Pain after Spinal Surgery (CPSS)[^3] [^4].”“A newer definition is intended to replace the term FBSS with Persistent Spinal Pain Syndrome (PSPS), which also includes the group of Chronic Pain after Spinal Surgery (CPSS)[^3] [^4].”
  • Citation added: “Follett KA, Dirks BA. Etiology and evaluation of the failed back surgery syndrome. Neurosurg Q. 1993;3:40–59.”
  • Citation added: “Daniell JR, Osti OL. Failed Back Surgery Syndrome: A Review Article. Asian Spine J. 2018;12(2):372-379”
  • Citation added: “Christelis, Nick, et al. "Persistent spinal pain syndrome: a proposal for failed back surgery syndrome and ICD-11." Pain Medicine 22.4 (2021): 807-818.”
  • Citation added: “Nahm, Francis Sahngun. "Increasing opioid prescription in Korea: a pressing public health concern and necessitating initiatives." The Korean Journal of Pain 37.1 (2024): 1.”
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