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SA Orthopaedic Journal

On-line version ISSN 2309-8309
Print version ISSN 1681-150X

SA orthop. j. vol.7 n.2 Centurion Apr./Jun. 2008

 

CLINICAL ARTICLE

 

An approach to failed lumbar surgery

 

 

Prof JA Shipley

MMed(Orth). Department Orthopaedic Surgery, University of the Free State, Bloemfontein

Correspondence

 

 


ABSTRACT

With the rising rate of spinal surgery, the need to manage cases of failed operations is on the increase. A systematic approach is essential to identify the causes of persistent or recurrent symptoms, and the first step is a detailed and thorough history and examination. MRI is often the most valuable special investigation. Further surgery is only justified when clinical findings are consistent with significant radiological pathology which can be treated surgically with a probability of success and little risk.


 

 

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References

1. 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 Mar 1;21(5):626-33.         [ Links ]

2. Raffo CS, Wiesel SW. Determining reasons for failed surgery. In Herkowitz H.N. The Lumbar Spine 3rd Edition. Lippincott Williams Wilkins, 2004: Chapter 87: 839-43.         [ Links ]

3. Wiltse LL, Guyer RD, Soencer CW, Glenn WV. Alar transverse process impingement of the L5 nerve root: the far out syndrome. Spine 1984;9(1):31-41.         [ Links ]

4. Carragee EJ, Lincoln T, Parmar VS, Alamin T. A gold standard evaluation of the discogenic pain diagnosis as determined by provocative discography. Spine 2006 Aug 15;31(18):2115-23.         [ Links ]

5. Cooper RG, Mitchell WS, Illingworth KJ, et al. The role of epidural fibrosis and defective fibinolysis in the persistence of post laminectomy back pain. Spine 1991;16(9):1044-8.         [ Links ]

6. Guyer DW, Wiltse II, Eskay ML, Guyer BH. The long range prognosis of arachnoiditis. Spine 1989 Dec;14(12):1332-41.         [ Links ]

 

 

Correspondence:
Prof JA Shipley
Department Orthopaedic Surgery
University of the Free State, Bloemfontein
Tel: (051) 405-2242; Fax: (051) 430-7101
legraner@fshealth.gov.za

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