FBSS: Endoscopic Documentation of Common Causes by Visualization of Painful Patho-anatomy

  • Version
  • 11 Download
  • 810.79 KB File Size
  • March 17, 2017 Create Date

Failed back surgery syndrome is a very loose term that has different meanings to different providers and specialists treating chronic lumbar pain. Surgeons label the term after failure to obtain their projected surgical results following traditional decompression surgery and/or fusion. There are painful pathoanatomic structures in the foramen not visualized by traditional surgeons. Therefore, rather than identifying a diagnosis of the etiology of the failure, surgeons simply label it “failed back surgery syndrome”. Even recurrent HNP is sometimes missed if small or in the “hidden” foraminal zone, even when it occurs after the surgeon has visually confirmed “complete” decompression of the herniated disc fragment or stenosis.

These patients are often referred for “pain management”. Interventional pain specialists focus on the neuromodulation of the spinal cord (SCS), or more recently the dorsal root ganglion (DRG). They use percutaneous neuromodulation to block pain pathways, depending on the gate theory. The two different specialties depend on divergent treatments without knowledge of the more specific reasons for surgical failure.


1635 East Myrtle Avenue
Suite 400
Phoenix, AZ 85020

East Valley

3487 S. Mercy Road
Gilbert, AZ 85297


8630 E. Via de Ventura
Suite 210
Scottsdale, AZ 85258

West Valley

18700 N. 64th Drive
Suite 105A
Glendale, AZ 85308

North Valley

33423 N. 32nd Avenue
Suite 2200
Phoenix, AZ 85085

Copyright © 1996-2018 by Anthony T. Yeung, M.D., P.C.
1635 E. Myrtle • Suite 400 • Phoenix, AZ 85020 • 602-944-2900