Failed Back Surgery Syndrome and Patient Satisfaction

Failed back surgery syndrome refers to the residual symptoms and dissatisfaction experienced by patients after one or more back surgeries. A study conducted in Japan found that 21.6% of patients end up with this syndrome. The research highlighted the importance of setting realistic expectations prior to surgery, as patients' satisfaction is influenced by their perception of the surgical outcome. Furthermore, the study revealed that only 25% of patients experienced complete resolution of low back pain, while 12.3% had severe residual pain. Age over 65 and undergoing multiple operations, particularly spinal fusions, were identified as factors contributing to a higher likelihood of failed back surgery syndrome. It is crucial for both healthcare providers and patients to effectively communicate and discuss the potential outcomes and risks of back surgery.