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![]() ![]() In addition, patients with reoperation had a higher rate of obvious adjacent disk degeneration (81.1%). Reoperated patients were older and had a higher level of lumbar degeneration, with severe Modic changes (type 1, 17.2% type 2, 34.5%), vs patients without reoperation (type 1, 1.5% type 2, 30.6%). Cumulative overall reoperation rates gradually increased from 1.56% at 1 year to 8.17% after nearly 10 years. The overall mean interval between primary surgery and revision surgery was 39.05 months (range, 2-95 months). In total, 76 disk herniations were excised with revision diskectomy, with or without interbody fusion. Causes and clinical parameters were retrospectively assessed, and possible risk factors were evaluated by multivariate logistic regression analysis. Of these, 58 had revision spinal surgery. Its management should be multidisciplinary, and special attention should be provided to cases of recurrent disc herniation and postoperative spinal imbalance.Ī population-based database of 1263 consecutive patients who underwent microendoscopic diskectomy for single-level lumbar disk herniation between 20 was retrospectively analyzed to identify causes and characteristics of reoperation and associated risk factors. FBSS is a complex and difficult pathology, and its accurate diagnosis is of utmost importance. The evaluation of patients with FBSS symptoms should ideally initiate with reviewing the patients' clinical history (observing "red flags"), followed by a detailed clinical examination and imaging (whole-body X-ray, magnetic resonance imaging, and computed tomography). Although the etiology of FBSS is not completely understood, it is possibly multifactorial, and the causative factors may be categorized into preoperative, operative, and postoperative factors. It is generally accepted that its incidence ranges between 10% and 40% after lumbar laminectomy with or without fusion. Since the information on FBSS incidence is limited, data needs to be retrieved from old studies. FBSS is a term that groups the conditions with recurring low back pain after spine surgery with or without a radicular component. The study aimed to review the etiology of failed back surgery syndrome (FBSS) and to propose a treatment algorithm based on a systematic review of the current literature and individual experience. (4) Conclusions: We conclude that AA is an effective, safe, cost-effective, non-invasive nursing intervention that can improve pain, neuropathy, and sleep in patients on PSPS. (3) Results: The findings showed that there were significant differences in pain (back VAS p = 0.003, leg VAS p = 0.002, PPT p = 0.008), neuropathy (DN4 p = 0.034), and sleep actigraphy (sleep efficiency p = 0.038, number of awake p = 0.001, deep sleep stage p = 0.017). 27.0, using a t-test and repeated-measures ANOVA. The data were analyzed with SPSS/WIN ver. To validate the effects of the intervention, pressure pain thresholds (PPT), the Visual Analogue Scale (VAS), douleur neuropathique 4 (DN4) questions, the Pittsburgh Sleep Quality Index (PSQI), and actigraphy with a Fitbit Alta were conducted. All participants received 6 weeks of AA intervention. The participants who had at least one lumbar surgery were randomly assigned to either the experimental group (n = 26) or the placebo control group (n = 25). (2) Methods: This was a randomized, single-blind, placebo-controlled study conducted from 1 March 2022 to 31 July 2022. The study was to examine the effects of auricular acupressure (AA) on low back pain, neuropathy, and sleep in patients on PSPS. (1) Background: Various procedures were performed on patients with persistent spinal pain syndrome (PSPS), but the clinical effect and safety were insufficient. ![]()
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