Failed Back Surgery Syndrome is syndrome of failed back surgeons

In the absence of any scientifically admissible evidence of efficacy or efficiency for revision back surgery, the syndrome of failed back surgeons is described by the following combination of back surgeons' shortcomings: Lack of scientific basis for proper surgical indications in patients with low back and/or leg pain, with the exception of surgery for severe nerve root pain due to a disc hernia. Avoidance of attempts to provide evidence of efficacy by scientifically admissible studies. Too easily influenced by the marketing forces of instrument manufactures and/or well-spoken colleagues with a new method. Uncritical reading of published uncontrolled case series of various surgical procedures for patients with chronic low back pain. Disregard for the predictive value of the psychosocial factors. The overwhelming evidence of our failures explains the poor results of revision surgery for Failed Back Surgery Syndrome.