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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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2019/3126464 |
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| author | Philippe Rigoard Kliment Gatzinsky Jean-Philippe Deneuville Wim Duyvendak Nicolas Naiditch Jean-Pierre Van Buyten Sam Eldabe |
| author_facet | Philippe Rigoard Kliment Gatzinsky Jean-Philippe Deneuville Wim Duyvendak Nicolas Naiditch Jean-Pierre Van Buyten Sam Eldabe |
| author_sort | Philippe Rigoard |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-d1f828bb8b474cb4b4684cf6aedc3680 |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-d1f828bb8b474cb4b4684cf6aedc36802025-02-03T06:44:26ZengWileyPain Research and Management1203-67651918-15232019-01-01201910.1155/2019/31264643126464Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Consensus Statement on Definition and Outlines for Patient AssessmentPhilippe Rigoard0Kliment Gatzinsky1Jean-Philippe Deneuville2Wim Duyvendak3Nicolas Naiditch4Jean-Pierre Van Buyten5Sam Eldabe6Spine & Neuromodulation Functional Unit, Poitiers University Hospital, Poitiers, FranceDepartment of Neurosurgery, Sahlgrenska University Hospital, Gothenburg, SwedenSpine & Neuromodulation Functional Unit, Poitiers University Hospital, Poitiers, FranceDepartment of Neurosurgery, Jessa Hospital, Hasselt, BelgiumPRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, Poitiers, FranceDepartment of Anesthesia and Pain Management, Hospital AZ Nikolaas, Sint-Niklaas, BelgiumDepartment of Pain and Anaesthesia, The James Cook University Hospital, Middlesbrough, UKFailed 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.http://dx.doi.org/10.1155/2019/3126464 |
| spellingShingle | Philippe Rigoard Kliment Gatzinsky Jean-Philippe Deneuville Wim Duyvendak Nicolas Naiditch Jean-Pierre Van Buyten Sam Eldabe Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Consensus Statement on Definition and Outlines for Patient Assessment Pain Research and Management |
| title | Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Consensus Statement on Definition and Outlines for Patient Assessment |
| title_full | Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Consensus Statement on Definition and Outlines for Patient Assessment |
| title_fullStr | Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Consensus Statement on Definition and Outlines for Patient Assessment |
| title_full_unstemmed | Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Consensus Statement on Definition and Outlines for Patient Assessment |
| title_short | Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Consensus Statement on Definition and Outlines for Patient Assessment |
| title_sort | optimizing the management and outcomes of failed back surgery syndrome a consensus statement on definition and outlines for patient assessment |
| url | http://dx.doi.org/10.1155/2019/3126464 |
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