Failed Back or Neck Surgery Syndrome refers to persistent or recurrent pain following spinal surgery. It may result from issues such as scar tissue formation, adjacent segment disease, incomplete decompression, or recurrent herniation.
Incidence varies depending on surgery type and patient factors. Risk factors include smoking, psychiatric history, and complex or multi-level surgeries.
Treatment strategies are multidisciplinary—pain management (medication, injections), physical therapy, psychological counseling, neuromodulation (e.g., spinal cord stimulation), and, in selected cases, revision surgery or fusion.