Therapeutic Interventional Procedures following Failed Back Surgery; Is It Worth it?

Background Data: Treatment of failed back surgery syndrome (FBSS) is challenging to any spine surgeon or pain specialist. Purpose: The study aims to evaluate pain and functional outcome in response to lumbar spine interventional procedures in failed back. Study Design: Prospective non-randomized cli...

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Autores principales:	Ayman Galhom, Mohammad Al-Shatouri
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2016
Materias:	Failed back surgery syndrome therapeutic interventional lumbar spine Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/8ec1f5baedc048dd8e360f16ef6c261b
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spelling	oai:doaj.org-article:8ec1f5baedc048dd8e360f16ef6c261b2021-12-02T03:08:52ZTherapeutic Interventional Procedures following Failed Back Surgery; Is It Worth it?DOI:10.21608/ESJ.2016.40942314-89502314-8969https://doaj.org/article/8ec1f5baedc048dd8e360f16ef6c261b2016-10-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_4094.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Treatment of failed back surgery syndrome (FBSS) is challenging to any spine surgeon or pain specialist. Purpose: The study aims to evaluate pain and functional outcome in response to lumbar spine interventional procedures in failed back. Study Design: Prospective non-randomized clinical case study. Patients and methods: Between Jan 2013 to Jan 2016, 35 patients with FBSS were included. Every patient was subjected to history taking, physical examination, and diagnostic imaging. Patients received a fluoroscopy guided lumbar spine procedures according to the failed back cause. A visual analog scale (VAS) for pain intensity, and Oswestry Disability index (ODI) were completed before the intervention maneuverand continued for one year during follow up. Patients were prepared for another intervention or surgery if he didn’t respond to the maneuver according to the case. Results: Patients were predominately females (62.9%) with a mean age of 39.74±12.37 years. Clinical and radiological finding revealed; 31.4% canal or foraminal stenosis, 25.8% facet arthropathy, 17.2% epidural scar, 14.3% recurrent disc, and 11.3% degenerative sacroilitis. After intervention procedure, and during 12 months follow up, one way ANOVA test was significant with P=0.001 for both VAS and ODI. Multivariate logistic regression analysis for both VAS and ODI after one year revealed that proper diagnosis and intervention maneuver were the independent factors that affect both with P value (0.001, 0.002), and (0.001, 0.018) respectively. Only 22.9% of cases end up with surgery during this year. Conclusion: Intervention procedures in FBSS can improve pain scale and functional outcome in most cases up to one year. Surgery should be the last line of therapy when the case is indicated. (2016ESJ117)Ayman Galhom Mohammad Al-ShatouriEgyptian Spine AssociationarticleFailed back surgery syndrometherapeutic interventionallumbar spineNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 20, Iss 1, Pp 28-40 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Failed back surgery syndrome therapeutic interventional lumbar spine Neurology. Diseases of the nervous system RC346-429
spellingShingle	Failed back surgery syndrome therapeutic interventional lumbar spine Neurology. Diseases of the nervous system RC346-429 Ayman Galhom Mohammad Al-Shatouri Therapeutic Interventional Procedures following Failed Back Surgery; Is It Worth it?
description	Background Data: Treatment of failed back surgery syndrome (FBSS) is challenging to any spine surgeon or pain specialist. Purpose: The study aims to evaluate pain and functional outcome in response to lumbar spine interventional procedures in failed back. Study Design: Prospective non-randomized clinical case study. Patients and methods: Between Jan 2013 to Jan 2016, 35 patients with FBSS were included. Every patient was subjected to history taking, physical examination, and diagnostic imaging. Patients received a fluoroscopy guided lumbar spine procedures according to the failed back cause. A visual analog scale (VAS) for pain intensity, and Oswestry Disability index (ODI) were completed before the intervention maneuverand continued for one year during follow up. Patients were prepared for another intervention or surgery if he didn’t respond to the maneuver according to the case. Results: Patients were predominately females (62.9%) with a mean age of 39.74±12.37 years. Clinical and radiological finding revealed; 31.4% canal or foraminal stenosis, 25.8% facet arthropathy, 17.2% epidural scar, 14.3% recurrent disc, and 11.3% degenerative sacroilitis. After intervention procedure, and during 12 months follow up, one way ANOVA test was significant with P=0.001 for both VAS and ODI. Multivariate logistic regression analysis for both VAS and ODI after one year revealed that proper diagnosis and intervention maneuver were the independent factors that affect both with P value (0.001, 0.002), and (0.001, 0.018) respectively. Only 22.9% of cases end up with surgery during this year. Conclusion: Intervention procedures in FBSS can improve pain scale and functional outcome in most cases up to one year. Surgery should be the last line of therapy when the case is indicated. (2016ESJ117)
format	article
author	Ayman Galhom Mohammad Al-Shatouri
author_facet	Ayman Galhom Mohammad Al-Shatouri
author_sort	Ayman Galhom
title	Therapeutic Interventional Procedures following Failed Back Surgery; Is It Worth it?
title_short	Therapeutic Interventional Procedures following Failed Back Surgery; Is It Worth it?
title_full	Therapeutic Interventional Procedures following Failed Back Surgery; Is It Worth it?
title_fullStr	Therapeutic Interventional Procedures following Failed Back Surgery; Is It Worth it?
title_full_unstemmed	Therapeutic Interventional Procedures following Failed Back Surgery; Is It Worth it?
title_sort	therapeutic interventional procedures following failed back surgery; is it worth it?
publisher	Egyptian Spine Association
publishDate	2016
url	https://doaj.org/article/8ec1f5baedc048dd8e360f16ef6c261b
work_keys_str_mv	AT aymangalhom therapeuticinterventionalproceduresfollowingfailedbacksurgeryisitworthit AT mohammadalshatouri therapeuticinterventionalproceduresfollowingfailedbacksurgeryisitworthit
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Therapeutic Interventional Procedures following Failed Back Surgery; Is It Worth it?

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