post-laminectomy syndrome; failed-back syndrome

Introduction

chronic back pain &/or sciatica that occurs after back surgery (spinal surgery)

Etiology

• contributing factors
  • residual or recurrent disc herniation
  • persistent post-operative pressure on a spinal nerve
  • altered joint mobility
  • joint hypermobility with instability
  • fibrosis
• risk factos
  • depression
  • anxiety
  • insomnia
  • spinal muscular deconditioning
  • diabetes mellitus
  • autoimmune disease
  • peripheral vascular disease
  • smoking

Clinical manifestations

• low back pain
• sciatica
• paresthesia

Management

• multidisciplinary management
  • address individual components

More general terms

• postoperative complication
• syndrome
• bone disease; osteopathia