Is Once Failed Back Surgery, Always Failed Back Surgery? A Relative Success of Surgical Intervention in a Patient with Failed Back Surgery on Intrathecal Morphine Pump

Purpose: To present a case, previously been labelled as failed back surgery with Intrathecal Morphine Pump and yet successfully treated surgically through a far lateral approach. Methods: A 54 years old man with a long history of complicated lumbosacral surgery on Intrathecal Morhpine Pump presented with worsening of back pain. Further investigations revealed adjacent level disease next to the previous fusion level. A far lateral approach was employed to perform a lumbar interbody fusion. Results: The back pain significantly subsided soon after the surgery and the patient returned to his previous pain control regime. On the latest follow up, 2 years following surgery, he remained stable with regards of his symptoms with the IT morphine pump controlling the leg pain.