Dr. Luis Lombardi-The Sequence of Chronic Pain

In traumatic spine surgery, supporting  structures of the spine are cut or removed which causes instability. Instability is the abnormal movement of that segment of the spine producing back and/or leg pain. This problem will end up most likely with a recommendation for FUSION. With fusion, the overall patient satisfaction does not exceed 60 % and 40% of the patients remain the same or get even worse. Bio-mechanically speaking, fused discs do not carry load very well;  therefore, the load is transferred to adjacent levels which get overwhelmed; this in turn leads to more disc failures and surgeries. Multiple spine operations push many patients over the edge. Unfortunately, under these circumstances, patients will most likely have severe pain and not many options other than palliative pain management. This condition is called FAILED BACK SURGERY SYNDROME.

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