REOPERATION RESULTS FOR FAILED BACK SURGERY SYNDROME

Abstract

Aim. To conduct optimization of the approach in the treatment of patients with the failed back syndrome in the lumbosacral part of the spine. Materials and methods. 60 patients previously operated for degenerative dystrophic lesions of the lumbosacral part of the spine were studied. Among them 48 (80.0%) patients had previously been operated for disc herniation: L4-L5 level - 24 (50%) patients; L3-L4 level - 6 (12.5%) patients; L5-S1 level - 17 (35.4%) patients; S1 (2.1%) patient with spinal canal stenosis. Results and discussion. The regress of sensitive disorders among 48 reoperated patients was not observed. According to the Japanese Orthopedic Association (JOA) scoring system in the group of patients with failed back surgery syndrome, excellent results were observed in 29 cases, good results in 17 cases, satisfactory results in 8 cases and bad results in 6 cases. Conclusion. Conclusion. The approach in the treatment of the failed back surgery syndrome should be based on the assessment of the balance of power vectors at the systemic, organ, and segmental levels, taking into account the syndrome complex of compression, instability, and structural failure.