Failed Spine Surgery (Pain of post laminectomy)

Pain and disability after spinal surgery is very common and it’s the main reason why the use of surgery is very limited to the most advanced cases.

Causes of failed back surgery syndrome

Recurrent disc herniation

Granulation tissue formation

Immunocompromised patients with cancer or diabetes or other

Advanced spondylosis

Nerve scarring from the surgical procedure itself

All of the above cause are the reason why the use of surgery is limited to the advanced cases already suffering from impending disability such as foot drop or incontinence

The use of minimally invasive spine procedures is the gold standard for treatment of post laminectomy pain.

Selective nerve root injection and pulsed Radiofrequency fluoroscopic guided together with RACZ catheter assisted neuroplasty. Per cutaneous laser disc decompression should also be considered in cases of recurrent disc herniation

All minimally invasive procedures are done with taking in consideration safety, effectiveness and convenience. Procedure duration is usually anywhere between 20 to 40 minutes. Under local anesthesia and sedation. The patient is instructed to leave the hospital after 2 to 3 hours and can resume his daily activities after 24 to 48 hours.