Revision Spine Surgery
Revision spine is the answer for many patients who did not do well after their first operation.
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Revision Spine Surgery
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Revision spine surgery is done in a patient who has previously undergone a spine surgery that has not met the expectations of the patient or the surgeon. Revision spine surgeries are usually performed on prior surgeries of the neck or the lower back. The revision of spine surgeries is usually more complicated than primary spine surgery.
In the cervical region, a failed cervical disc replacement surgery is usually corrected with revision surgery. Revision spine surgery of the cervical or lumbar region is also indicated in patients with re-herniation of the intervertebral disk, infection of the prior surgery, or failure of the hardware inserted during the prior surgery. The patients may also present with adjacent level degeneration and pseudoarthrosis.
Symptoms
Chronic pain in the back, neck, radiating down to legs. The pain might persist even after surgery or may appear after several days or weeks following surgery. The pain becomes worse when scar tissue starts to build up in the nerve roots spinal column. In addition to pain and tiredness, few patients might incur the loss of balance medically termed as altered trunk position after spine surgery to correct the deformity.
Some other reasons that lead to revision spine surgery include infection at the site of surgery, curve progression, and implant failure. In another study spine surgeons specifically examined the patients who underwent revision spine surgery.
Failed back surgery syndrome
A failed back surgery syndrome is the persistence of the chronic symptoms of pain after one or more surgeries of the spine. The failed back surgery syndrome occurs when the outcome of the surgery is not as expected by the patient or the surgeon.
Spine surgery performed in patients in whom the surgery was not indicated or poor patient selection is the most common cause of failed back surgery.
Other causes of failed spine surgery include patients with an incorrect/incomplete initial diagnosis, wrong procedure/technique, chronic smokers, and patients with immune-suppressing co-morbid diseases. Postoperative complications such as a dural tear, infection, or hematoma may lead to failed back syndrome.
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