Post Laminectomy Syndrome (Failed Back Surgery Syndrome)

Post Laminectomy Syndrome (PLS), also known as Failed Back Surgery Syndrome (FBSS), refers to chronic back and/or leg pain that persists after spinal surgery, typically following a laminectomy. This condition is classified as a chronic pain syndrome and can significantly impact a patient’s quality of life.

Causes of Post Laminectomy Syndrome

Several factors contribute to the development of Post Laminectomy Syndrome, including:

• Residual or recurrent disc herniation
• Persistent pressure on spinal nerves
• Scar tissue formation (fibrosis)
• Altered joint mobility or instability
• Spinal muscular deconditioning
• Depression, anxiety, and sleep disturbances

In many cases, the spinal nerve root, which was decompressed during surgery, may not fully recover and continues to cause chronic pain, such as sciatica. Scar tissue can also form around the nerve roots, leading to ongoing discomfort. Additionally, structural changes in the spine—either above or below the site of a spinal fusion—can develop, contributing to chronic pain.

Certain systemic conditions, such as diabetes, autoimmune disease, and vascular disorders, may predispose individuals to developing Post Laminectomy Syndrome.

Treatment Options

Treating Post Laminectomy Syndrome can be challenging, and a multidisciplinary approach is often necessary. Treatment options may include:

• Medications for pain management
• Physical therapy to improve mobility
• Injections for nerve pain relief
• Neuromodulation and other advanced therapies

At Montgomery Pain Institute, we specialize in diagnosing and treating Post Laminectomy Syndrome. Our goal is to help patients manage chronic pain and improve their quality of life through personalized care plans.