Evidence map›Paper›PMID 29879788›Full record

ReviewAsian spine journal2018

Etiology, Evaluation, and Treatment of Failed Back Surgery Syndrome.

Amer Sebaaly, Marie-José Lahoud, Maroun Rizkallah, Gaby Kreichati, Khalil Kharrat

Registry-linked trialOpen access · diamondAbstract readReview
In one paragraph

Review in Asian spine journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06969456 (Patient-centered Management of Chronic Spinal Pain by Addressing the Peripheral and Central Component With Exercise and Non-invasive Neuromodulation), which is not on this map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06969456 narecruitingnot on this mapstarted 2025, after this paper: background citation

Patient-centered Management of Chronic Spinal Pain by Addressing the Peripheral and Central Component With Exercise and Non-invasive Neuromodulation: A Randomized Control Trial (RCT)

TypeinterventionalSponsorFundación Universidad Católica de Valencia San Vicente MártirRan2025 to 2027Enrolled42ConditionsSpinal Pain Syndrome, Chronic Pain (Back / Neck)ArmsExercise, TDCS, ShamTDCS
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 121 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Ginsenoside Rg1 mitigates epidural fibrosis after laminectomy in rats: histopathological, TUNEL, and transcriptional evidence.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  7. Article
  8. Article
  9. Development of machine learning models for predicting patient-perceived benefit following lumbar disc herniation or spinal stenosis surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Effect of interspinous ligament fluid sign on postoperative outcome of single-level lumbar interbody fusion.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Article
  15. Article
  16. Article
  17. Review
  18. Leveraging voice biomarkers to quantify chronic pain: a rapid review.Frontiers in pain research (Lausanne, Switzerland) · 2025
    Review
  19. Article
  20. Article

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Amer SebaalyDepartment of Orthopedic Surgery, Hôtel Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon.
Marie-José LahoudDepartment of Anesthesiology, Hôtel Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon.
Maroun RizkallahDepartment of Orthopedic Surgery, Hôtel Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon.
Gaby KreichatiDepartment of Orthopedic Surgery, Hôtel Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon.
Khalil KharratDepartment of Orthopedic Surgery, Hôtel Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon.
Saint Joseph University · LB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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. FBSS is a term that groups the conditions with recurring low back pain after spine surgery with or without a radicular component. Since the information on FBSS incidence is limited, data needs to be retrieved from old studies. It is generally accepted that its incidence ranges between 10% and 40% after lumbar laminectomy with or without fusion. 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. 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). FBSS is a complex and difficult pathology, and its accurate diagnosis is of utmost importance. Its management should be multidisciplinary, and special attention should be provided to cases of recurrent disc herniation and postoperative spinal imbalance.

Indexed as

ElectrostimulationFailed back surgery syndromePostural balance

Identifiers

PMID29879788
PMCPMC6002183
OpenAlexW2805791815

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.