Failed Back Syndrome - Pathology

Pathology

Before the advent of CT scanning, the pathology in failed back syndrome was difficult to understand. Computerized tomography in conjunction with metrizamide myelography in the late 1960s and 1970s allowed direct observation of the mechanisms involved in post operative failures. Six distinct pathologic conditions were identified:

  • Recurrent or persistent disc herniation
  • Spinal stenosis
  • Post operative infection
  • Epidural post-operative fibrosis
  • Adhesive arachnoiditis
  • Nerve Injury

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