Failed Back Surgery Syndrome: Magnetic Resonance Imaging Assessment

Background data: Failed back surgery syndrome (FBSS) refers to pain and functional incapacitation of varying degrees following spinal surgery for low back pain. FBSS represent almost 10-40% of patients. MRI is the best diagnostic modality for detection of its causes, after full clinical assessment....

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Autores principales:	Esam Hemat, Amr El-Adawy
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2014
Materias:	epidural fibrosis recurrent disc prolapse arachnoiditis MRI spinal stenosis Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/cb866701100a49039114abf7ef9d2697
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spelling	oai:doaj.org-article:cb866701100a49039114abf7ef9d26972021-12-02T00:13:26ZFailed Back Surgery Syndrome: Magnetic Resonance Imaging AssessmentDOI:10.21608/ESJ.2014.38802314-89502314-8969https://doaj.org/article/cb866701100a49039114abf7ef9d26972014-07-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3880.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background data: Failed back surgery syndrome (FBSS) refers to pain and functional incapacitation of varying degrees following spinal surgery for low back pain. FBSS represent almost 10-40% of patients. MRI is the best diagnostic modality for detection of its causes, after full clinical assessment. Study Design: this is a prospective clinical case study Purpose: The aim of this study is to describe the various MRI findings seen in the postoperative spine of patient with failed back surgery syndrome. Patients and methods: this study carried out forty patients complaining of recurrent back-pain and/ or sciatica after back surgery. All patients were referred from orthopedic department to radiology department of Zagazig University hospitals for MRI examination, after full clinical assessment. Patients were evaluated clinically and examined by magnetic resonance imaging. This study was conducted through July 2012 to March 2014. Patients were 28 males & 12 females with a mean age of 41.6 (20-78 years) age. All patients were managed according to their clinical picture and MRI findings. Results: Eighteen patients (45%) showed recurrent disc prolapse; 10 (25%) patients postoperative epidural fibrosis; 6 (15%) both recurrent disc prolapse and epidural scarring; two (5%) patients arachnoiditis, two (5%) patient discitis, one (2.5%) patient postoperative pseudomeningocele formation & one (2.5%) patient postoperative epidural hematoma collection. Gadolinium-diethylenetriaminepenta- acetic acid (Gd-DTPA)-enhanced MRI was particularly helpful in differentiating recurrent disc prolapse and epidural fibrosis. Conclusion: MRI correctly predict recurrent disc prolapse, epidural fibrosis,arachnoiditis, spinal stenosis and other causes of failed back surgery syndrome, illustrating the value of this modality in the evaluation of FBSS. (2014ESJ068)Esam Hemat Amr El-AdawyEgyptian Spine Associationarticleepidural fibrosisrecurrent disc prolapsearachnoiditisMRIspinal stenosisNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 11, Iss 1, Pp 11-17 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	epidural fibrosis recurrent disc prolapse arachnoiditis MRI spinal stenosis Neurology. Diseases of the nervous system RC346-429
spellingShingle	epidural fibrosis recurrent disc prolapse arachnoiditis MRI spinal stenosis Neurology. Diseases of the nervous system RC346-429 Esam Hemat Amr El-Adawy Failed Back Surgery Syndrome: Magnetic Resonance Imaging Assessment
description	Background data: Failed back surgery syndrome (FBSS) refers to pain and functional incapacitation of varying degrees following spinal surgery for low back pain. FBSS represent almost 10-40% of patients. MRI is the best diagnostic modality for detection of its causes, after full clinical assessment. Study Design: this is a prospective clinical case study Purpose: The aim of this study is to describe the various MRI findings seen in the postoperative spine of patient with failed back surgery syndrome. Patients and methods: this study carried out forty patients complaining of recurrent back-pain and/ or sciatica after back surgery. All patients were referred from orthopedic department to radiology department of Zagazig University hospitals for MRI examination, after full clinical assessment. Patients were evaluated clinically and examined by magnetic resonance imaging. This study was conducted through July 2012 to March 2014. Patients were 28 males & 12 females with a mean age of 41.6 (20-78 years) age. All patients were managed according to their clinical picture and MRI findings. Results: Eighteen patients (45%) showed recurrent disc prolapse; 10 (25%) patients postoperative epidural fibrosis; 6 (15%) both recurrent disc prolapse and epidural scarring; two (5%) patients arachnoiditis, two (5%) patient discitis, one (2.5%) patient postoperative pseudomeningocele formation & one (2.5%) patient postoperative epidural hematoma collection. Gadolinium-diethylenetriaminepenta- acetic acid (Gd-DTPA)-enhanced MRI was particularly helpful in differentiating recurrent disc prolapse and epidural fibrosis. Conclusion: MRI correctly predict recurrent disc prolapse, epidural fibrosis,arachnoiditis, spinal stenosis and other causes of failed back surgery syndrome, illustrating the value of this modality in the evaluation of FBSS. (2014ESJ068)
format	article
author	Esam Hemat Amr El-Adawy
author_facet	Esam Hemat Amr El-Adawy
author_sort	Esam Hemat
title	Failed Back Surgery Syndrome: Magnetic Resonance Imaging Assessment
title_short	Failed Back Surgery Syndrome: Magnetic Resonance Imaging Assessment
title_full	Failed Back Surgery Syndrome: Magnetic Resonance Imaging Assessment
title_fullStr	Failed Back Surgery Syndrome: Magnetic Resonance Imaging Assessment
title_full_unstemmed	Failed Back Surgery Syndrome: Magnetic Resonance Imaging Assessment
title_sort	failed back surgery syndrome: magnetic resonance imaging assessment
publisher	Egyptian Spine Association
publishDate	2014
url	https://doaj.org/article/cb866701100a49039114abf7ef9d2697
work_keys_str_mv	AT esamhemat failedbacksurgerysyndromemagneticresonanceimagingassessment AT amreladawy failedbacksurgerysyndromemagneticresonanceimagingassessment
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Failed Back Surgery Syndrome: Magnetic Resonance Imaging Assessment

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