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2026, Vol: 51, Issue: 2
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Original Research 
RMJ. 2017; 42(2): 226-230


Failed back surgery syndrome: Factors responsible and management

Shahid Ahmed Shah, Zeeshan Basharat.


Abstract
Objective: To evaluate factors responsible for failed back surgery at our institution.
Methodology: This longitudinal and interventional study was conducted at Shifa International Hospital Islamabad over a time period of two years and included 30 consecutive patients of Failed back surgery syndrome. Per-operative planning, preparation and surgery were performed by a single surgeon.
Results: Patients were divided in two groups; Group 1 consisted of 25 (83.3%) patients who underwent redo surgery and Group 2, 5(16.6%) patients who were managed conservatively. Most common reason for failed back surgery syndrome was inappropriate surgical technique (residual disc fragments) in 18(72%) patients in group 1.
Conclusion: Proper pre-operative planning, good surgical technique, prevention of wrong level surgery, good sterilization and appropriate aseptic measures are some of the measures that can prevent failed back surgery syndrome.

Key words: Failed back surgery syndrome, redo spine surgery, intractable pain


 
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How to Cite this Article
Pubmed Style

Shah SA, Basharat Z. Failed back surgery syndrome: Factors responsible and management. RMJ. 2017; 42(2): 226-230.

Web Style

Shah SA, Basharat Z. Failed back surgery syndrome: Factors responsible and management. https://www.rmj.org.pk/?mno=245770 [Access: June 29, 2026].

AMA (American Medical Association) Style

Shah SA, Basharat Z. Failed back surgery syndrome: Factors responsible and management. RMJ. 2017; 42(2): 226-230.


Vancouver/ICMJE Style

Shah SA, Basharat Z. Failed back surgery syndrome: Factors responsible and management. RMJ. (2017), [cited June 29, 2026]; 42(2): 226-230.


Harvard Style

Shah, S. A. & Basharat, . Z. (2017) Failed back surgery syndrome: Factors responsible and management. RMJ, 42 (2), 226-230.


Turabian Style

Shah, Shahid Ahmed, and Zeeshan Basharat. 2017. Failed back surgery syndrome: Factors responsible and management. Rawal Medical Journal, 42 (2), 226-230.


Chicago Style

Shah, Shahid Ahmed, and Zeeshan Basharat. "Failed back surgery syndrome: Factors responsible and management." Rawal Medical Journal 42 (2017), 226-230.


MLA (The Modern Language Association) Style

Shah, Shahid Ahmed, and Zeeshan Basharat. "Failed back surgery syndrome: Factors responsible and management." Rawal Medical Journal 42.2 (2017), 226-230. Print.


APA (American Psychological Association) Style

Shah, S. A. & Basharat, . Z. (2017) Failed back surgery syndrome: Factors responsible and management. Rawal Medical Journal, 42 (2), 226-230.


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