Jsmc-10313

PRESENTATION AND MANAGEMENT OF FAILED BACK SURGERY SYNDROME BY STEERABLE EPIDURAL CATHETER

Anjam Ibrahim Sulaiman a, Othman Ismat Abdulmajeed b, and Hoshanc Sdeeq Rashid c

a Dept. of Surgery, College of Medicine, Hawler Medical University, Kurdistan Region, Iraq.

b College of Medicine, Hawler Medical University, Kurdistan Region, Iraq.

c Rozhawa Hospital, Erbil, Kurdistan Region, Iraq.

Submitted: 12/10/2020; Accepted: 22/4/2021; Published: 21/9/2021

DOI Link: https://doi.org/10.17656/jsmc.10313 

ABSTRACT 

Background 

Failed back surgery syndrome (FBSS) is a frequently occurring disease following lumbar spinal surgery. It has also been named “post lumbar surgery syndrome,” and much research has been done. The patients share continued back and extremity pain following one or more spinal operations. It may be due to inadequate operations, operative complications, progression of degenerative processes, or a new pathology.

Objectives 

To successfully use a steerable epidural catheter to treat ‘Failed Back Surgery Syndrome’ patients. Study Design a case series was carried out on 50 patients with FBSS.

Methods

Clinical data were collected from patients with FBSS, pain symptoms, MRI findings. (VAS) the visual analog scale has been used for pain degree evaluation, (ODI) Oswestry disability index was used for functional improvement evaluation. Percutaneous adhesiolysis under fluoroscopy guide has been performed, and the patients were assessed at one month and three months intervals from the day of the procedure.

Results

In comparing to baseline values, there was a significant decrease of the mean and median VAS after one month and three months of the intervention (p < 0.001). The same is for the ODI%, where it is clear that its median decreased from 48% to 22% after one month (p < 0.001) and to 8% after three months (p < 0.001).

Conclusion

Steerable epidural catheter was effective in FBSS treatment with improvement in pain and function.

KEYWORDS

FBSS, Epidural adhesiolysis, Oswestry Disability Index, Steerable epidural catheter, Chronic low back pain.

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