Persistent Spinal Pain Syndrome: A Proposal for Failed Back Surgery Syndrome and ICD-11

• DOI: 10.1093/pm/pnab015
• Publication Date: 2021-01-19T12:18:13Z
• Authors: Nick Christelis; Brian Simpson; Marc Russo; Michael Stanton-H...; Giancarlo Barolat; Simon Thomson; Stephan Schug; Ralf Baron; Eric Buchser; Daniel B Carr; Timothy R Deer; Ivano Dones; Sam Eldabe; Rollin Gallagher; Frank Huygen; David Kloth; Robert Levy; Richard North; Christophe Perruc...; Erika Petersen; Philippe Rigoard; Konstantin Slavin; Dennis Turk; Todd Wetzel; John Loeser
• Keywords: Failed back surgery; Delphi Method; Causation

For many medical professionals dealing with patients persistent pain following spine surgery, the term Failed back surgery syndrome (FBSS) as a diagnostic label is inadequate, misleading, and potentially troublesome. It misrepresents causation. Alternative terms have been suggested, but none has replaced FBSS. The International Association for Study of Pain (IASP) published revised classification chronic pain, part new Classification Diseases (ICD-11), which accepted by World Health Organization (WHO). This includes Chronic after spinal (CPSS), suggested replacement FBSS.This article provides arguments rationale definition. In order to propose broadly applicable yet more precise clinically informative term, an international group experts was established.14 candidate were considered ranked. application agreed criteria reduced this shortlist four. A preferred option-Persistent syndrome-was selected structured workshop Delphi process. We provide using Persistent schema its incorporation into ICD-11. adoption would strengthen ICD-11 classification.This project important those in fields management, neuromodulation, well labeled Through shift perspective, it could facilitate allow clearer discussion among professionals, industry, funding organizations, academia, legal profession.