Veterans with Failed Back Surgery Syndrome (FBSS) may have regenerative options that address adjacent-level annular tears without revision surgery. About 80% of patients with prior failed surgery reported positive outcomes after intra-annular fibrin injection — accessible to eligible veterans under the Mission Act.

Key Takeaways

  • FBSS occurs in roughly 40% of spine surgeries.
  • Adjacent-level annular tears are common drivers.
  • About 80% of failed-surgery patients reported positive outcomes after the regenerative procedure.
  • Mission Act may cover community-care regenerative options.
  • Valor handles VA paperwork directly.

What Is FBSS?

Persistent or recurrent pain after spine surgery. An umbrella term covering multiple drivers — residual annular tears, adjacent-level disc problems, scar tissue, or pain generators not addressed by the original surgery.

What Are the Options?

  • Continued conservative care with adjusted protocols.
  • Image-guided injections at non-fused levels.
  • Spinal cord stimulation for neuropathic pain.
  • Intra-annular fibrin injection for adjacent-level annular tears.
  • Revision surgery when indicated.

How Does Regenerative Care Help?

Sealing an adjacent-level annular tear with an FDA-approved fibrin sealant stabilizes the disc so it can heal — without additional fusion.

Clinical Note

Veterans with FBSS often arrive at Valor convinced revision is their only option. In many cases, an adjacent-level annular tear is the actual problem.

What About Mission Act?

Eligible veterans may access community care under the Mission Act. Valor confirms eligibility and handles paperwork.

Frequently Asked Questions

How soon after my surgery can I be evaluated?

Typically after the standard postoperative healing window.

Can multiple adjacent levels be treated?

Often yes.

Will I still be a candidate for revision later?

Yes.

How long does Mission Act paperwork take?

Timelines vary by VISN.

Sources & Further Reading

  • NIH — FBSS literature
  • VA — Mission Act
  • AAFP — Postoperative spine care
  • CDC — Chronic pain

Medical disclaimer: This article is for educational purposes and does not replace medical advice. Consult your physician about any condition or treatment decision.

Schedule a consultation with the Valor team for an FBSS evaluation.

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