ArticleCureus2025
Bariatric Surgery as an Adjunctive Treatment for Failed Back Surgery Syndrome: A Case Report Highlighting a Multidisciplinary Approach.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
5 authors.
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Abstract
Failed back surgery syndrome (FBSS) poses a significant challenge in chronic pain management, particularly in patients with obesity, where excess weight exacerbates spinal strain and pain. Bariatric surgery has been explored as a potential adjunctive treatment for pain relief by reducing mechanical stress and systemic inflammation. We report the case of a 42-year-old woman with a history of FBSS, chronic back pain, narcolepsy, rheumatoid arthritis, and obesity, who underwent laparoscopic sleeve gastrectomy as part of a multidisciplinary pain management strategy. Despite having a spinal cord stimulator for pain control, she remained dependent on opioids, gabapentin, and amitriptyline. Following an uneventful surgery, postoperative pain was effectively managed with a ketamine infusion, leading to significant pain score reduction. The patient was discharged with an optimized pain regimen and demonstrated early improvements in mobility and overall well-being. This report highlights the potential role of bariatric surgery in managing chronic pain in patients with FBSS and obesity. It underscores the importance of a multidisciplinary approach, preoperative planning, and tailored postoperative pain management in optimizing outcomes. Further research is warranted to evaluate the long-term impact of bariatric surgery on chronic pain management and functional recovery in this patient population.
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