Relief for Failed Back Surgery Syndrome

Understanding Revision Surgery for Failed Back Surgery Syndrome

For most patients, spine surgery reduces pain, improves function and helps patients return to their normal lives. But for a small percentage of cases, the results fall short. When pain persists—or even worsens—after surgery, a condition known as Failed Back Surgery Syndrome (FBSS) may be the cause.

The spine surgeons on the medical staff at USMD Hospital at Arlington understand the challenges faced by individuals who are still suffering after an initial back surgery. Through advanced diagnostic techniques and state-of-the-art technology, we help patients explore their options, including revision surgery, a second procedure aimed at correcting the problem and restoring quality of life.

“Typically, revision spine surgery is much more complex than a first-time procedure and much more difficult,” said Jacob Rosenstein, M.D., Chief neurosurgeon on the medical staff at USMD Hospital at Arlington with over forty years experience. “Revision spine surgery is always highly individualized as each patient has a very unique set of circumstances and pathologies. We work closely with each patient to identify their problem and then explore options and find the best treatment path for their specific needs.”

What Is Failed Back Surgery Syndrome?

Failed Back Surgery Syndrome is not a single disease but rather a term used to describe continued or recurrent pain in the back or neck following one or more spinal surgeries. Pain may return weeks, months or even years after the initial procedure.

While most spinal procedures are successful, several factors can lead to less-than-ideal outcomes. These may include an incorrect diagnosis or surgical approach, incomplete decompression of spinal nerves, the formation of scar tissue, complications involving hardware (such as screws or rods shifting) or spinal instability or degeneration of a segment of the vertebrae adjacent to the original surgical area.

What Are the Symptoms of FBSS?

The symptoms of FBSS may vary widely. They can also significantly interfere with daily activities and diminish the patient’s quality of life.

Symptoms may include:

• Persistent or recurring low back pain or neck pain
• Pain that radiates into the arms or legs (sciatica)
• Numbness, tingling or weakness in the legs
• Reduced mobility or function
• Depression or anxiety related to chronic pain

When Is Revision Surgery Recommended?

In considering revision surgery, the spine specialists on the medical staff at USMD Hospital at Arlington take a thorough and conservative approach.

“In some cases, patients can find relief with non-surgical options such as physical therapy, medications, injections or spinal cord stimulation,” said Dr. Rosenstein. “However, if diagnostic imaging and clinical evaluation reveal a specific anatomical problem—such as a recurrent disc herniation, hardware failure or instability—revision surgery may be the best path forward. The goal is to address the underlying cause of the pain and improve the patient’s function and well-being.”

What Does Revision Surgery Typically Involve?

Revision spine surgery is highly individualized. But typically the surgery might involve:

• Removing or replacing spinal hardware
• Correcting alignment issues
• Releasing or removing scar tissue
• Stabilizing the spine through fusion
• Decompressing pinched nerves

These surgeries often require careful planning, precise execution and advanced technology. Where possible, surgeons on the medical staff at USMD Hospital at Arlington use minimally invasive techniques to reduce tissue damage, shorten recovery time and lower the risk of complications.

Who Benefits from Revision Surgery?

Not everyone with FBSS is a candidate for revision surgery, but those who may benefit include:

• Patients with a clear anatomical problem identified on imaging
• Individuals with hardware issues or spinal instability
• Those whose pain worsened after an otherwise routine procedure
• Patients who have not responded to conservative treatments

An experienced spine surgeon can help determine whether surgery is likely to provide relief.

Choosing the Right Surgeon for Revision Spine Surgery

Because revision spine surgery is complex, it’s critical to choose a surgeon with specialized expertise in treating FBSS. Here are a few things to look for:

• Board certification and specialization in spine surgery
• Experience performing revision procedures
• Access to advanced diagnostic imaging and equipment
• A collaborative, multidisciplinary team approach
• A commitment to gentle surgical technique with minimal tissue trauma

At USMD Hospital at Arlington, the spine surgeons on the medical staff provide innovative, patient-centered care. Our hospital is equipped with the latest tools and technologies to support successful outcomes for even the most complex cases.

A Second Chance at Relief

Living with ongoing neck, back or leg pain after surgery can be frustrating and disheartening—but you’re not out of options. Revision surgery for Failed Back Surgery Syndrome offers hope for many patients who feared they might need to live with pain indefinitely.

If you or a loved one is struggling with persistent symptoms after spine surgery, the team of spine surgeons on the medical staff at USMD Hospital at Arlington is here to help. They’ll work with you to understand the cause of your pain and develop a personalized plan that may include revision surgery using the most advanced techniques available.

To learn more or schedule a consultation, contact us at 817-472-3687.