The subject regarding failed spine surgery correction is a very broad topic. The reasons for failed spinal surgery are varied. The three possible conditions that are correctable are surgery that was done for the wrong diagnosis, a failed surgery that can be still be corrected such as a fusion that did not “take” (pseudoarthrosis) and a nerve that was not decompressed.
Wrong diagnosis is not as uncommon as would be expected. Finding the correct pain generator can be very difficult. Diagnostic imaging, diagnostic injections and a complete history and physical examination can reveal the source of complaints.
If a meticulous search for this generator was not completed prior to the first surgery, it can still be completed if the original surgery did not yield the anticipated relief.
If the surgery was not successful and the appropriate diagnosis was surgically corrected, the fault may be in the fusion or the placement of the artificial disc. A CT scan, bone scan or a new MRI on a better machine may give clues as to the reason the correct surgery did not work.
There are times that the correct diagnosis and the correct well done surgery without remaining nerve compression was performed. On those occasions, there may be no further surgery that can be helpful.
Chronic pain management may be in order. This end point can only be found by a significant work-up.
If you are seeking a second opinion for a failed spine surgery, please contact the office of Dr. Donald Corenman, spine surgeon and back pain specialist in the Vail, Aspen, Denver and Grand Junction, Colorado area.