{"id":1466,"date":"2025-04-17T12:00:35","date_gmt":"2025-04-17T10:00:35","guid":{"rendered":"https:\/\/complexspineinstitute.com\/failed-back-surgery-syndrome-fbss\/"},"modified":"2025-04-21T11:10:14","modified_gmt":"2025-04-21T09:10:14","slug":"failed-back-surgery-syndrome-fbss","status":"publish","type":"page","link":"https:\/\/complexspineinstitute.com\/en\/treatments\/failed-back-surgery-syndrome-fbss\/","title":{"rendered":"Failed Back Surgery Syndrome (FBSS)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1466\" class=\"elementor elementor-1466 elementor-1298\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-232de56 e-flex e-con-boxed e-con e-parent\" data-id=\"232de56\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d77e2fd elementor-widget elementor-widget-heading\" data-id=\"d77e2fd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Failed Back Surgery Syndrome: A Personalized and Innovative Approach<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ef6da49 e-flex e-con-boxed e-con e-parent\" data-id=\"ef6da49\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bae43a0 elementor-widget elementor-widget-text-editor\" data-id=\"bae43a0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>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 <strong>Failed Back Surgery Syndrome<\/strong>, is a real, complex, and profoundly impactful condition, both physically and emotionally. <\/p><p>At Complex Spine Institute, we understand the toll that ongoing pain takes. That\u2019s why we approach each case with a highly specialized and personalized plan\u2014blending neurosurgery, advanced orthopedics, and cutting-edge technology. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e5c65d0 e-flex e-con-boxed e-con e-parent\" data-id=\"e5c65d0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b66f11c elementor-widget elementor-widget-heading\" data-id=\"b66f11c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What Is Failed Back Surgery Syndrome?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6f80510 elementor-widget elementor-widget-text-editor\" data-id=\"6f80510\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Failed Back Surgery Syndrome (FBSS) is a clinical condition marked by persistent lower back, radicular, or neuropathic pain following spine surgery. It doesn\u2019t always imply that the surgery itself failed, but rather that the body\u2019s response was incomplete or inadequate. <\/p><p>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. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4b39ac2 e-flex e-con-boxed e-con e-parent\" data-id=\"4b39ac2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-5419f35 e-con-full e-flex e-con e-child\" data-id=\"5419f35\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a554fab elementor-widget elementor-widget-heading\" data-id=\"a554fab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Common Causes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-df2a015 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"df2a015\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul>\n<li>Epidural fibrosis or post-surgical scarring<\/li>\n<li>Recurring or residual disc herniation<\/li>\n<li>Untreated spinal instability<\/li>\n<li>Incorrect surgical level<\/li>\n<li>Unresolved or secondary nerve compression<\/li>\n<li>Postoperative mechanical failure or sagittal imbalance<\/li>\n<li>Incomplete or incorrect pre-surgical diagnosis<br>&nbsp;<\/li><\/ul>\n<p>\u201cOur 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.\u201d \u2014 Dr. Gilete<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8469aec e-con-full e-flex e-con e-child\" data-id=\"8469aec\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-658a1ab elementor-widget elementor-widget-image\" data-id=\"658a1ab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"683\" height=\"1024\" src=\"https:\/\/complexspineinstitute.com\/wp-content\/uploads\/2025\/04\/revision_de_radiografia_columna.webp\" class=\"attachment-large size-large wp-image-939\" alt=\"Dr. Gilete revisando radiograf\u00eda de columna completa frente a la luz\" srcset=\"https:\/\/complexspineinstitute.com\/wp-content\/uploads\/2025\/04\/revision_de_radiografia_columna.webp 683w, https:\/\/complexspineinstitute.com\/wp-content\/uploads\/2025\/04\/revision_de_radiografia_columna-200x300.webp 200w\" sizes=\"(max-width: 683px) 100vw, 683px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9330f3f e-flex e-con-boxed e-con e-parent\" data-id=\"9330f3f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-54dd7d1 elementor-widget elementor-widget-heading\" data-id=\"54dd7d1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Symptoms of Failed Back Surgery Syndrome<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d0fa91 elementor-widget elementor-widget-text-editor\" data-id=\"4d0fa91\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Patients often present with:<\/p><ul><li>Chronic lower back pain<br><br><\/li><li>Leg pain or sciatica<br><br><\/li><li>Burning or cramping sensations (neuropathic pain)<br><br><\/li><li>Numbness or weakness in limbs<br><br><\/li><li>Difficulty walking or maintaining posture<br><br><\/li><li>Anxiety, insomnia, and emotional distress due to chronic pain<br><br><\/li><\/ul><p>\u201cWe combine advanced expertise with personalized care, delivering effective solutions that truly improve quality of life.\u201d \u2014 Dr. Covaro<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7983028 e-flex e-con-boxed e-con e-parent\" data-id=\"7983028\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4a34b59 elementor-widget elementor-widget-heading\" data-id=\"4a34b59\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Emotional Impact: Beyond Physical Pain<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e93f6f elementor-widget elementor-widget-text-editor\" data-id=\"4e93f6f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>FBSS doesn\u2019t only affect mobility\u2014it can deeply erode a patient\u2019s confidence, emotional well-being, and trust in medicine, especially after multiple unsuccessful surgeries. <\/p>\n<p>At Complex Spine Institute, we believe in restoring both function and hope by: <\/p>\n<ul>\n<li>Reevaluating with advanced imaging\n<\/li>\n<li>Multidisciplinary diagnosis<\/li><li>Clear communication and emotional support<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8fbf9b1 e-flex e-con-boxed e-con e-parent\" data-id=\"8fbf9b1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-972ab87 elementor-widget elementor-widget-heading\" data-id=\"972ab87\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Accurate Diagnosis: The First Step to Real Solutions<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d9390a elementor-widget elementor-widget-text-editor\" data-id=\"4d9390a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A comprehensive approach includes:<\/p><ul><li>Functional and upright MRI scans<br><br><\/li><li>3D CT scans with axial and sagittal reconstructions<br><br><\/li><li>Neurophysiological studies<br><br><\/li><li>Clinical evaluations aligned with imaging results<br><br><\/li><\/ul><p>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. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6a47c0e e-flex e-con-boxed e-con e-parent\" data-id=\"6a47c0e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fb707ac elementor-widget elementor-widget-heading\" data-id=\"fb707ac\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Treatment Options at Complex Spine Institute<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2296c76 elementor-widget elementor-widget-text-editor\" data-id=\"2296c76\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Based on the root cause, treatment may involve:<\/p><ul><li><strong>Revision surgery<\/strong> (endoscopic or minimally invasive)<br><br><\/li><li><strong>Regenerative therapy <\/strong>(platelet-rich plasma, stem cells)<br><br><\/li><li><strong>Neurostimulation<\/strong> (implants for chronic pain control)<br><br><\/li><li><strong>Combined therapies with advanced rehabilitation<\/strong><br><br><\/li><\/ul><p>Not every case requires surgery. Our goal is to avoid unnecessary interventions through precision treatment and personalized medicine. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-376d5f3 e-flex e-con-boxed e-con e-parent\" data-id=\"376d5f3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-186e0d9 elementor-widget elementor-widget-heading\" data-id=\"186e0d9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Advanced Technology and Experience<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d4c86ff elementor-widget elementor-widget-text-editor\" data-id=\"d4c86ff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Complex Spine Institute offers intraoperative navigation, next-generation endoscopy, intraoperative CT scanning, robotic surgery, and custom surgical protocols.<\/p><p>Each case is handled by a multidisciplinary team under the leadership of Dr. Gilete and Dr. Covaro\u2014international experts in complex spine surgery.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-11ddc9b e-flex e-con-boxed e-con e-parent\" data-id=\"11ddc9b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a3d4a55 elementor-widget elementor-widget-heading\" data-id=\"a3d4a55\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Conclusion: Reclaim Trust, Reclaim Life<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5e3eb9d elementor-widget elementor-widget-text-editor\" data-id=\"5e3eb9d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>If you&#8217;ve undergone one or more surgeries without relief, you&#8217;re not alone. Failed back syndrome can be solved if approached with experience, technology, and humanity.<\/p><p>At Complex Spine Institute, we are committed to providing clear, realistic, and hopeful second opinions. We assess each case thoroughly and honestly.<\/p><p><a href=\"https:\/\/complexspineinstitute.com\/en\/complex-spine-institute\/en\/complex-spine-institute\/en\/complex-spine-institute\/en\/complex-spine-institute\/en\/complex-spine-institute\/en\/complex-spine-institute\/en\/complex-spine-institute\/en\/request-evaluation\/\"><strong>Request a no-obligation evaluation today.<\/strong><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6dbf6f11 e-flex e-con-boxed e-con e-parent\" data-id=\"6dbf6f11\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5c45b658 elementor-widget elementor-widget-text-editor\" data-id=\"5c45b658\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<aside class=\"author-signature\" role=\"doc-credits\"><address>Reviewed and approved by <strong>Dr. Vicen\u00e7 Gilete, MD<\/strong>, Neurosurgeon, and <strong>Dr.\u00a0Augusto Covaro, MD<\/strong>, Orthopedic Surgeon<\/address><address>Complex\u00a0Spine\u00a0Institute \u00b7 Barcelona | <time datetime=\"2025-04-17\">April 18, 2025<\/time><\/address><address><a href=\"https:\/\/complexspineinstitute.com\/en\/complex-spine-institute\/en\/complex-spine-institute\/en\/complex-spine-institute\/en\/complex-spine-institute\/en\/complex-spine-institute\/en\/complex-spine-institute\/en\/complex-spine-institute\/en\/institute\/#medical_team\" rel=\"author\">See biographies and publications<\/a><\/address><\/aside>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>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 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":419,"parent":1431,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1466","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/complexspineinstitute.com\/en\/wp-json\/wp\/v2\/pages\/1466","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/complexspineinstitute.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/complexspineinstitute.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/complexspineinstitute.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/complexspineinstitute.com\/en\/wp-json\/wp\/v2\/comments?post=1466"}],"version-history":[{"count":0,"href":"https:\/\/complexspineinstitute.com\/en\/wp-json\/wp\/v2\/pages\/1466\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/complexspineinstitute.com\/en\/wp-json\/wp\/v2\/pages\/1431"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/complexspineinstitute.com\/en\/wp-json\/wp\/v2\/media\/419"}],"wp:attachment":[{"href":"https:\/\/complexspineinstitute.com\/en\/wp-json\/wp\/v2\/media?parent=1466"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}