Failed Back Surgery Syndrome (FBSS) occurs in roughly 40% of fusion patients. Regenerative spine care via intra-annular fibrin injection helps when the active pain driver is an annular tear at a disc unaffected by surgical hardware. Among published cohorts, 80% of patients with prior failed surgery reported positive outcomes after the procedure.
Key Takeaways
- FBSS is documented in 40% of fusion patients.
- Tear-driven FBSS responds to the fibrin procedure.
- Treatment focuses on discs not affected by hardware.
- 80% positive outcomes in published failed-surgery cohorts.
- Imaging review confirms candidacy.
What This Guide Covers
- What is FBSS?
- What is tear-driven FBSS?
- What does FBSS evaluation include?
- What are realistic expectations?
What is FBSS?
Persistent or recurrent pain after spine surgery. The label is descriptive; identifying the specific driver is the clinical question.
What is tear-driven FBSS?
FBSS where the active driver is an annular tear — frequently at an adjacent level the original surgery did not target. The fibrin procedure can address it.
What does FBSS evaluation include?
Pre- and post-surgical imaging, current MRI, the operative note, focused exam, and history of post-surgical care. The output is a candidacy answer.
What are realistic expectations?
Among published cohorts, 80% of failed-surgery patients reported positive outcomes. Individual outcomes vary; some patients still need surgical revision.
Clinical Note
Patients with FBSS sometimes carry the assumption that they used their option. Our clinical staff treats that as incomplete. Different lesions need different interventions; the procedure addresses one type that surgery did not.
Frequently Asked Questions
Is FBSS treatable?
Frequently, yes — when the active driver is identified.
Can I have the procedure repeatedly?
In some cases, yes. The clinical team reviews imaging.
What if hardware is the source of my pain?
Hardware-related pain can need surgical revision; the procedure does not address it.
This content is for general informational purposes only and does not constitute medical advice, diagnosis, or treatment. It is not a substitute for evaluation by a qualified physician. Treatment decisions depend on your individual medical history and clinical findings. Schedule a consultation to discuss whether the procedure is right for you.

