Başarısız bel cerrahisi sendromu

Aymer COŞAR (Ufuk Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Ankara)
Journal of Turkish Spinal Surgery
75 2
Yıl: 2009 Cilt: 20 Sayı: 2 Sayfa Aralığı: 89 - 94 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Başarısız bel cerrahisi sendromu

Öz:
Bir veya birden fazla bel cerrahisi geçirmiş hastalarda düzelmeyen bel ve /veya bacak ağrısının olması başarısız bel cerrahisi sendromu olarak adlandırılır. Spinal cerrahların sık karşılaştığı problemlerden biridir. En sık sebepleri arasında yanlış tanı konulması, yanlış seviyenin ameliyat edilmesi ve yetersiz cerrahi sayılabilir. Tanıda; lomber direk grafi, bilgisayarlı tomografi, MRG ve elektrofizyolojik incelemelerden faydanılmaktaktadır. Etyolojisi karışık olduğundan tedavinin yönetimi önem kazanmaktadır. Hastaların psikososyal yapıları dikkatle değerlendirilmeli ve cerrahi patoloji varlığında, sorun öncelikle cerrahi yöntemlerle çözülmelidir. Ancak, cerrahi yöntemle düzeltilemeyecek problemlerde, spinal kord stimülasyonu bir tedavi şekli olabilir. Sonuçta başarısız bel cerrahisi sendromu tedavisinde, multidisipliner işbirliği yapılmalı ve tedavinin ek ekonomik kayıplara neden olduğu akılda tutulmalıdır.
Anahtar Kelime:

Konular: Cerrahi

Failed back surgery syndrome

Öz:
Failed back surgery syndrome is named for the patients who had been operated once or more for back surgery and not had a success for improvement of back or radicular leg pain. The spine surgeons are frequently faced with this problem. The most known reasons are misdiagnosis, operation for wrong level and insufficient surgery. The follow up tests for diagnosis are lomber x-ray, computerized tomography, magnetic resonance imaging and electrophysiologic studies. The management of treatment gain importance because of complex etiology of syndrome. The psychosocial status of patients should be evaluated carefully and in the presence of surgical pathology, the problem should be solved primarily with surgical intervention. However an alternative treatment can be spinal cord stimulation in presence of problems which are not treated with surgery. Finally multidiscipliner cooperation is important in treatment of failed back surgery syndrome and economical decrement due to treatment should be kept in mind.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
  • 1. Axelson P, Jhonsson R, Strömgvist B. Adjacent segment hypermobility after lumbar spine fusion: no association with progressive degeneration of the segment 5 years after surgery. Acta Orthop 2007; 78(6): 834-839.
  • 2. Braverman DL, Slipman CW, Lenrow DA. Using gabapentin to treat failed back surgery syndrome caused by epidural fibrosis: A report of 2 cases. Arch Phys Med Rehabil 2001; 82(5): 691-693.
  • 3. Burton CV, Kirkaldy-Willis WH, Young-Hing K, Heithoff KB. Causes of failure of surgery on the lumbar spine. Clin Orthop Relat Res 1981; 157: 191-199.
  • 4. Caner H, Atalay B. Başarısız bel cerrahisi sendromu. Zileli M, Özer AF (eds), Omurilik ve Omurga Cerrahisi, Cilt1, Meta basım, 2.baskı, İzmir, 2002; pp: 789-795.
  • 5. Carette S, Marcoux S, Truchon R, Grodin C, Gagnon J, Allard Y, Latullipe M. A controlled trial of corticosteroid injections into facet joints for chronic low back pain. N Engl J Med 1991; 325 (14): 1002-1007.
  • 6. Cohen CA. Evaluation of the failed back at the Medical College of Virginia Pain Center. Bull Los Angeles Neurol Soc 1979; 44: 45-47.
  • 7. Dvorak J, Valach L, Fuhrimann P, Heim E. The outcome of surgery for lumbar disc herniation. II. A 4-17 years' follow-up with emphasis on psychosocial aspects. Spine 1988; 13(12): 1418-1422
  • 8. Fager CA, Freidberg SR. Analysis of failures and poor results of lumbar spine surgery. Spine 1980; 5 (1) :87-94.
  • 9. Flor H, Fydrich T, Turk DC. Efficacy of multidisciplinary pain treatment centers: a metaanalytic review. Pain 1992; 49 (2): 221-230.
  • 10.Fritsch EW, Heisel J, Rupp S.: The failed back surgery syndrome: reasons, intraoperative findings, and long-term results: a report of 182 operative treatments. Spine 1996; 21(5): 626-633.
  • 11.Frymoyer JW, Matteri RE, Hanley EN, Kuhlmann D, Howe J. Failed lumbar disc surgery requiring second operation. A long-term follow-up study. Spine 1978; 3 (1): 7-12
  • 12.Gabriel EM, Friedman AH.The Failed Back Surgery Syndrome. In: Wilkins RH, Rengachary SS (Eds.): Neurosurgery, Vol.3, 2nd Edition, Mcgraw-Hill, New York,1996; pp: 3863-3870.
  • 13.Gasi´nski P, Radek M, Jó´zwiak J, Lyczak P. Peridural fibrosis in lumbar disc surgerypathogenesis, clinical problems and prophylactic attempts. Neurol Neurochir Pol 2000; 34(5): 983-993 (English abstract).
  • 14.Hudgins WR. The role of microdiscectomy. Orthop Clin North Am 1983; 14(3): 589-603.
  • 15.Johnsson KE, Redlund-Johnell I, Udén A, Willner S. Preoperative and postoperative instability in lumbar spinal stenosis. Spine 1989; 14(6): 591-593.
  • 16.Long DM. Decision making in lumbar disc disease. Clin Neurosurg 1992; 39: 36-51.
  • 17.Long DM:management of persistent symptoms fallowing lumbar disc surgery. In: Schmideck HH, Sweet WH (eds). Operative Neurosurgical Techniques: Indications, Methods and Results. WB Saunders Co, Philadelphia, 1995; pp: 1935-1939.
  • 18.Long DM. Chronic Back Pain. Churchill Livingstone, London, 1999; pp:539-558.
  • 19.MacNab L. Negative disc exploration: an analysis of the causes of nevre root involvement in 68 patients. J Bone Joint Surg Am 1971; 53: 891-996.
  • 20.McAfee PC, Ullrich CG, Yuan HA, Sherry RG, Lockwood RC. Computed tomography in degenerative spinal stenosis. Clin Orthop Relat Res 1981; 161: 221-234.
  • 21.Mixter WJ, Barr JS. Rupture of the intervertebral disc with involvement of the spinal canal. N Engl J Med 1934; 211: 210-215.
  • 22.Morley S, Eccleston C, Williams A. Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache. Pain 1999; 80 (1-2): 1-13.
  • 23.Nachemson AL. Evaluation of results in lumbar spine surgery. Acta Orthop Scand 1993; 251 (Suppl.): 130-133.
  • 24.Nooraie H, Taghipour M, Arasteh MM. Lumbar spine fusion and pedicle fixation with C-D screws for lumbar iatrogenic instability. Arch Orthop Trauma Surg 1997; 116 (4): 236-238.
  • 25.North RB, Campbell JN, James CS, Conover- Walker MK, Wang H, Piantadosi S, Rybock JD, Long DM. Failed back surgery syndrome: 5-year follow-up in 102 patients undergoing repeated operation. Neurosurgery 1991; 28 (5): 685-690.
  • 26.North RB, Kidd D, Shipley J, Taylor RS. Spinal cord stimulation versus reoperation for failed back surgery syndrome: a cost effectiveness and cost utility analysis based on a randomized, controlled trial. Neurosurgery 2007; 61 (2): 361-368.
  • 27.Phillips FM, Cunningham B. Managing chronic pain of spinal origin after lumbar surgery: the role of decompressive surgery. Spine 2002; 27 (22): 2547-2553.
  • 28.Raffo C, Wiesel S, Lauerman W. Determining reasons for failed lumbar spine surgery. In: Frymoyer A(Ed.). The Adult Spine. Lippincott- Raven, Philadelphia, 2003; pp: 945-954.
  • 29.Roberts M Complications of lumbar disc surgery. Spinal Surg 1989; 2: 226-232.
  • 30.Rust MS, Olivero WC. Far-lateral disc herniations: the results of conservative management. J Spinal Disord 1999; 12 (2): 138-140.
  • 31.Samy Abdou M, Hardy RW Jr. Epidural fibrosis and the failed back surgery syndrome: history and physical findings. Neurol Res 1999; 21 (Suppl 1): S5-S8.
  • 32.Sengupta DK. Dynamic stabilization devices in the treatment of low back pain. Neurol India 2005; 53 (4): 466-474.
  • 33.Ward NG. Tricyclic antidepressants for chronic low-back pain. Mechanisms of action and predictors of response. Spine 1986; 11 (7):661-665.
  • 34.Yoshida GM, Nelson RW, Capen DA, Nagelberg S, Thomas JC, Rimoldi RL, Haye W. Evaluation of continuous intraspinal narcotic analgesia for chronic pain from benign causes. Am J Orthop 1996; 25 (10): 693-694.
  • 35.Zeidman SM. Failed back surgery syndrome. In: Batjer HH, Loftus CM (Eds.), Textbook of Neurological Surgery, Vol.2, Lippicott Williams & Wilkins, Philadelphia, 2003; pp: 1668-1676.
APA COŞAR A (2009). Başarısız bel cerrahisi sendromu. , 89 - 94.
Chicago COŞAR Aymer Başarısız bel cerrahisi sendromu. (2009): 89 - 94.
MLA COŞAR Aymer Başarısız bel cerrahisi sendromu. , 2009, ss.89 - 94.
AMA COŞAR A Başarısız bel cerrahisi sendromu. . 2009; 89 - 94.
Vancouver COŞAR A Başarısız bel cerrahisi sendromu. . 2009; 89 - 94.
IEEE COŞAR A "Başarısız bel cerrahisi sendromu." , ss.89 - 94, 2009.
ISNAD COŞAR, Aymer. "Başarısız bel cerrahisi sendromu". (2009), 89-94.
APA COŞAR A (2009). Başarısız bel cerrahisi sendromu. Journal of Turkish Spinal Surgery, 20(2), 89 - 94.
Chicago COŞAR Aymer Başarısız bel cerrahisi sendromu. Journal of Turkish Spinal Surgery 20, no.2 (2009): 89 - 94.
MLA COŞAR Aymer Başarısız bel cerrahisi sendromu. Journal of Turkish Spinal Surgery, vol.20, no.2, 2009, ss.89 - 94.
AMA COŞAR A Başarısız bel cerrahisi sendromu. Journal of Turkish Spinal Surgery. 2009; 20(2): 89 - 94.
Vancouver COŞAR A Başarısız bel cerrahisi sendromu. Journal of Turkish Spinal Surgery. 2009; 20(2): 89 - 94.
IEEE COŞAR A "Başarısız bel cerrahisi sendromu." Journal of Turkish Spinal Surgery, 20, ss.89 - 94, 2009.
ISNAD COŞAR, Aymer. "Başarısız bel cerrahisi sendromu". Journal of Turkish Spinal Surgery 20/2 (2009), 89-94.
Sayfa Oluşturulma Tarihi
22-04-2024 14:9

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