Spine Complications
A 52-year-old man presents with persistent leg pain 18 months after L4/5 microdiscectomy. He reports the pain improved initially but recurred at 6 months. He describes radicular pain in the L5 distribution with associated numbness. MRI with gadolinium is ordered. The pain management team has been consulted. Regarding failed back surgery syndrome (FBSS):
Mark each as TRUE or FALSE
FBSS is a diagnosis of exclusion occurring in 10-40% of patients after lumbar spine surgery despite ...
MRI with gadolinium is the gold standard for distinguishing epidural scar from recurrent disc hernia...
Revision surgery for epidural fibrosis has excellent outcomes with 90% success rates; spinal cord st...
Spinal cord stimulation (SCS) is effective for radicular pain in FBSS, providing 50% or greater pain...
Prevention of FBSS is paramount and includes correct preoperative diagnosis, intraoperative level ve...
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Click T (True) or F (False) for each option