NASS 2018 Annual Meeting

Symposium: Section on RIMS: Clinical Failure of Lumbar Surgery Part II: Treatment Options (Room 403A)

Moderator: H. Michael Guo, MD

 

Failed back surgery includes a diverse group diagnoses with many different treatment options besides reoperation. There is not, however, a clear best practice for diagnosis and treatment of these conditions. There are specific diagnostic tools that provide more clear utility than others. With a more specific diagnosis, patients can and often do improve substantially once their treatment is matched to their diagnosis. Faculty continue to present an evidence-based approach that helps provide a means for more specific diagnosis with the most specific combination of clinical tools and to understand how different types of treatments have evidence for patients.

 

Upon completion of this session, participants should gain strategies to:

  • Appreciate how to use specific diagnostic tools to reach a more specific diagnosis for patients who have failed back surgery
  • Describe which tests are most helpful to reach a diagnosis
  • Distinguish specific treatments that have evidence with specific diagnoses related to failed back surgery

 

Agenda

Introduction
H. Michael Guo, MD

 

Intensive Rehabilitation Following Unsuccessful Lumbar Spine Surgery
Carol Hartigan, MD

 

Facet IA Injection/RFN
Byron J. Schneider, MD

 

SIJ RFN versus Serial Injections
Alison A. Stout, DO

 

Medications

  • Opioids
  • Non-Opioid Analgesics

Jerome Schofferman, MD

 

Spinal Cord Stimulators
Sanjog Pangarkar, MD

 

Reoperation
Jeffrey C. Wang, MD

 

Discussion, Questions, Answers
Faculty Panel