Failed Back Surgery Syndrome: A Personalized and Innovative Approach
When a patient undergoes spinal surgery hoping to regain their quality of life, the most frustrating and painful scenario is discovering that the pain persists or even worsens. This situation, known as Failed Back Surgery Syndrome, is a real, complex, and profoundly impactful condition, both physically and emotionally.
At Complex Spine Institute, we understand the toll that ongoing pain takes. That’s why we approach each case with a highly specialized and personalized plan—blending neurosurgery, advanced orthopedics, and cutting-edge technology.
What Is Failed Back Surgery Syndrome?
Failed Back Surgery Syndrome (FBSS) is a clinical condition marked by persistent lower back, radicular, or neuropathic pain following spine surgery. It doesn’t always imply that the surgery itself failed, but rather that the body’s response was incomplete or inadequate.
It can develop after procedures such as discectomies, laminectomies, spinal fusions, or arthrodesis. Causes may include nerve damage, epidural fibrosis, biomechanical imbalances, incorrect spinal segment targeting, or undiagnosed underlying conditions.
Common Causes
- Epidural fibrosis or post-surgical scarring
- Recurring or residual disc herniation
- Untreated spinal instability
- Incorrect surgical level
- Unresolved or secondary nerve compression
- Postoperative mechanical failure or sagittal imbalance
- Incomplete or incorrect pre-surgical diagnosis
“Our commitment to new technology and patient safety, especially for those with rare conditions, has allowed us to offer real alternatives to patients with failed surgeries.” — Dr. Gilete
Symptoms of Failed Back Surgery Syndrome
Patients often present with:
- Chronic lower back pain
- Leg pain or sciatica
- Burning or cramping sensations (neuropathic pain)
- Numbness or weakness in limbs
- Difficulty walking or maintaining posture
- Anxiety, insomnia, and emotional distress due to chronic pain
“We combine advanced expertise with personalized care, delivering effective solutions that truly improve quality of life.” — Dr. Covaro
Emotional Impact: Beyond Physical Pain
FBSS doesn’t only affect mobility—it can deeply erode a patient’s confidence, emotional well-being, and trust in medicine, especially after multiple unsuccessful surgeries.
At Complex Spine Institute, we believe in restoring both function and hope by:
- Reevaluating with advanced imaging
- Multidisciplinary diagnosis
- Clear communication and emotional support
Accurate Diagnosis: The First Step to Real Solutions
A comprehensive approach includes:
- Functional and upright MRI scans
- 3D CT scans with axial and sagittal reconstructions
- Neurophysiological studies
- Clinical evaluations aligned with imaging results
Many of our patients arrive with incomplete or misinterpreted studies. With advanced diagnostics and surgical expertise, we pinpoint the root cause and craft a realistic treatment plan.
Treatment Options at Complex Spine Institute
Based on the root cause, treatment may involve:
- Revision surgery (endoscopic or minimally invasive)
- Regenerative therapy (platelet-rich plasma, stem cells)
- Neurostimulation (implants for chronic pain control)
- Combined therapies with advanced rehabilitation
Not every case requires surgery. Our goal is to avoid unnecessary interventions through precision treatment and personalized medicine.
Advanced Technology and Experience
Complex Spine Institute offers intraoperative navigation, next-generation endoscopy, intraoperative CT scanning, robotic surgery, and custom surgical protocols.
Each case is handled by a multidisciplinary team under the leadership of Dr. Gilete and Dr. Covaro—international experts in complex spine surgery.
Conclusion: Reclaim Trust, Reclaim Life
If you’ve undergone one or more surgeries without relief, you’re not alone. Failed back syndrome can be solved if approached with experience, technology, and humanity.
At Complex Spine Institute, we are committed to providing clear, realistic, and hopeful second opinions. We assess each case thoroughly and honestly.