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KMID : 0359819930220010048
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Journal of Korean Neurosurgical Society
1993 Volume.22 No. 1 p.48 ~ p.57
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Clinical Evaluation of Failed Back Surgery Syndrome(FBSS)
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Abstract
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The authors experenced 186 cases of Failed Back Surgery Syndrome (FBSS), which were 2.5% of all admitted patients in authors' clinic from 1983 to 1992. Among them, 173 patients were referred cases from other hospital and 13 patients were authors'
cases
which was 0.2% of authors' back surgery. About 75% of all was come to our clinic within 2 years after initial operation.
The common cause of FBSS was resulted form inadequate surgery or surgical complications (51%). In these cases, incomplete decompression at initial operation was seemed to be a major factor. The next causes was due to inadequate patient selection
(26.3%)
and the FBSS was more prevalent when the patient had only back pain without leg pain. The other causes of FBSS was post-operative adhesion (8.6%), discitis (4.3%), and inadequate diagnosis (4.3%). So about 80% of FBSS seem to have preventable
causes. 66
of 186 cases was performed reoperation and 70% of them had improvement.
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KEYWORD
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