There is a small percentage of people that simply do not complete this healing process for a variety of reasons, and this can cause them to feel worse many months, or even years, after their previous surgery. Once this happens, patients may develop either new back pain or recurrent leg symptoms.
The other big category is that of continued degeneration at a level next to a previous surgery. This is not really a failure as much as a continuation of the same disease.
Because the spine has many different levels, patients very often can have a successful surgery at one level of the spine, but then continue to have wear and tear above or below.
This often causes similar symptoms to recur, usually many years after an otherwise-successful surgery. The question becomes whether their pain has something to do with the surgery itself wearing out or whether something is happening at another level of their spine either above or below where they had their previous surgery. Some patients can have surgery and feel good for 5 or 10 years — and then the next level up or down the spine can develop the same problem.
That new problem can require undergoing a similar procedure, or starting over again with more conservative options — like physical therapy, medications, and injections — before considering surgery. You have to figure out what the underlying cause is. The spine and spinal cord play pivotal roles in bodily strength, sensation and movement. Mistakes or complications during surgery could impair one or more of these functions.
In addition to these dangers, a more involved surgical procedure could present more significant risks than a simple procedure. Aside from danger, one of the paramount concerns for back surgery is whether or not it is successful.
This estimate is conservative, as most success rates depend on a wide variety of factors. Your health, specific surgery, source of pain and any surgery complications influence whether or not your procedure will be effective.
Patients having repeated back surgeries have a much higher chance of failure. Unfortunately, failed back surgery is common enough that it has received classification as a medical condition. Failed back surgery syndrome FBSS occurs when a patient experiences continued pain in the back, neck or limbs following a surgery meant to reduce pain. Failed back surgery is relatively common — but not because the surgeon performed the procedure incorrectly.
Back surgery can only accomplish two goals : decompressing a pinched nerve root or stabilizing a painful joint. However, it can be challenging to identify and diagnose one of these factors before surgery. Considering appropriate non-surgical measures before surgery can help you avoid a costly procedure that does not adequately address back pain. Though the complication rate for back surgeries is relatively low, there is still potential for a variety of health issues.
The following are some common complications to consider. You may be less likely to experience specific complications based on your health condition. Talk to your doctor to learn about a list of complications that could be pertinent to you following a spinal surgery.
As mentioned before, several factors impact spinal surgery success rates. For example, your low back surgery success rate may vary, depending on whether your low back pain stems from a pinched nerve or herniated disc. The thoracic spine is in the middle of the spine, between the abdomen and upper back.
After 17 months of recovery, A surgeon might use minimally invasive spine surgery MIS to stabilize vertebrae and spinal joints or relieve pressure on spinal nerves. This approach is a more conservative method compared to other open spine surgeries.
Surgeons use small incisions, microscopic video cameras and guiding instruments to minimize the amount of trauma to the surgery site. You may qualify for MIS if you have one of the following conditions :.
There are several types of MIS procedures, depending on where a surgeon makes their incision. Herniated discs are common in the lumbar spine , but they may also occur in the cervical spine near the neck. If your discs have degenerated with time and ruptured, you may require herniated disc surgery. Depending on the location of your herniated disc , you may require a different surgical procedure. According to one study, the success rate for a herniated lumbar disc surgery was Several spinal fusion surgeries can help limit back pain that stems from specific points.
A fusion surgery involves joining two vertebrae with a bone graft, so they become one solid bone. This procedure can give your spine more stability and address pain you may feel when moving.
Sciatica occurs when you feel sudden pain in your hip and lower back that radiates to the back of the leg and thigh. You may experience sciatica as a result of normal wear and tear that accompanies aging. There is no equivalent term for failed back surgery syndrome in any other type of surgery e. It is only able to change anatomy, and an anatomical lesion injury that is a probable cause of back pain must be identified prior to rather than after back surgery or spine surgery.
For instance,. Therefore, the best way to avoid a spine surgery that leads to an unsuccessful result is to stick to operations that have a high degree of success and to make sure that an anatomic lesion that is amenable to surgical correction is identified preoperatively.
In addition to the above-mentioned cause of failed back surgery syndrome, there are several other potential causes of a failed surgery, or continued pain after surgery:.
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