![]() The PERFormance, Effectiveness, and Cost of Treatment (PERFECT) project was established to monitor the content, quality, and cost-effectiveness of treatment episodes in medical care in Finland, including surgical procedures involving the lumbar spine. Not all patients with persistent or recurrent spinal pain following spinal surgery receive SCS devices this study elucidates current trends in the treatment of persistent or recurrent spinal pain following spinal surgery. Previous studies have quoted failure rates after spinal surgery of between 10 and 40%. The incidence and risk factors of persistent or recurrent spinal pain following spinal surgery and SCS after lumbosacral surgery remain unclear. If the patient does not respond to conventional treatment, SCS is a commonly used and good option in persistent or recurrent spinal pain following spinal surgery, effectively reducing pain. SCS induces paresthesia, which decreases discomfort and pain in the affected area, but the actual mechanisms of pain relief in SCS are still unclear. In spinal cord stimulation (SCS), therapeutic doses of electrical current are delivered from the epidural space to spinal cord structures like the dorsal column. In the treatment of persistent or recurrent spinal pain following spinal surgery, pain relief may be unsatisfactory with drugs and rehabilitation alone. The term FBSS is misleading, however, as it does not necessarily have any association with the initial spine surgery. In most cases, before persistent or recurrent spinal pain following spinal surgery, repeated lumbar spine interventions have been tried unsuccessfully. ![]() Persistent spinal pain syndrome (PSPS) has replaced the previous inadequate term failed back surgery syndrome (FBSS). ![]() Persistent or recurrent pain after lumbar spine surgery denotes a condition, where despite careful diagnosis and a successful operation, the patient may still experience pain after spinal surgery. ![]()
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