Methods of Invasive Surgery Treatment in Patients with Lumbar Failed of Etiology Degenerative

It is necessary to expose the transcendental forms of invasive treatment for failed back surgery studied in 4 years of follow-up for the benefit of quality of life from patients with chronic spinal pain and functional limitation, and promote replication strategies in community spinal surgeons.Patients and Methods A prospective, descriptive, comparative, randomized study of 48 patients with degenerative lumbar disc disease diagnosis of failed back surgery, from any health center in the country with one or more surgical procedures performed in the anatomic area was conducted lumbar region, related to moderate-to-severe low back pain, with or without, radiculopathy tested before and after the invasive modality with the EVA scale of nociceptive pain, neuropathic pain DN4 scale and the scale of oswestry functional disability. Patients with a history of previous surgery were included in this investigation degenerative disease with intractable pain, to alleviate or relieve pain, with less previous evolution of the 6 months in cases of severe pain, and with persistence or increased symptoms before surgery. Some images evidence reflecting the failure or implant surgical techniques. All patients without previous surgery were excluded and also those with percutaneous interventional approaches of chronic spinal pain, as the only tool treatment lumbar radicular pain, failed back surgery patients with traumatic, tumoral, and infectious origin where by all the patients with established diagnosis of failed back surgery degenerative etiology.Results The analysis included an interpretation of medical records and surgical event clinical evaluation of 48 patients attending consultations and team column in the University Hospital Dr. “Manuel Nunez Tovar” in the city of Maturin, Monagas State, Venezuela. From January 2010 to June 2014, the majority of patients were males 60.42% and females 39.58%, aged 32 to 68 years. It was fulfilled in the total of 48 patients studied, 66 invasive modalities, discriminated into three groups as follows: revision surgery, 13 patients; approach percutaneous interventional analgesic and anesthetic spine chronic pain as Cosman technique, 19 patients; and mixed mode, 16 patients. Repeat percutaneous interventional total in 18 patients.Conclusion The procedures were performed by the same surgical team, using a surgical procedure according to the analysis of symptomatic interpretation of pain, upgrade of the images, affected lumbar level, and characteristic of previous surgery and experience of the team treating surgeons followed by more than 6 months with good and excellent, measurable, and clinically beneficial results.