{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T15:17:34Z","timestamp":1785856654196,"version":"3.56.0"},"reference-count":30,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T00:00:00Z","timestamp":1679529600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Failed back surgery syndrome (FBSS) is defined as back pain which either persists after attempted surgical intervention or originates after a spine surgery. There is a high risk of perioperative morbidity and a high likelihood of extensive revision surgery in geriatric patients with FBSS or post-laminectomy foraminal stenosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>There is a need for less invasive methodologies for the treatment of FBSS, such as patient-tailored exercise training, with attention to the cost and special needs of the geriatric patients with FBSS. This commentary will provide some background regarding teleexercise (utilizing an internet-based platform for the provision of exercise-related care) for FBSS and will propose three exercises which are easy to administer over online-based platforms and can be the subject of future investigation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Given the documented benefits of regular rehabilitative exercises for patients with FBSS, the high cost of face-to-face services, and the need for infection mitigation in the wake of the COVID-19 Pandemic, teleexercise may be a practical and cost-beneficial method of exercise delivery, especially for geriatric patients with limitations in mobility and access to care. It should be noted that, prescription of these exercises should be done after face-to-face evaluation by the physician and careful evaluation for any \u201cred flag\u201d symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this commentary, we will suggest three practical exercise training methodologies and discuss the benefits of teleexercise for geriatric patients with FBSS. Future research should aim to assess the efficacy of these exercises, especially when administered through telehealth platforms.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2023.1140506","type":"journal-article","created":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T07:31:42Z","timestamp":1679556702000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":8,"title":["Teleexercise for geriatric patients with failed back surgery syndrome"],"prefix":"10.3389","volume":"11","author":[{"given":"Reza","family":"Alizadeh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert Thomas","family":"Anastasio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ardalan","family":"Shariat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikhail","family":"Bethell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gholamreza","family":"Hassanzadeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,3,23]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2368","DOI":"10.1016\/S0140-6736(18)30489-6","article-title":"Prevention and treatment of low back pain: Evidence, challenges, and promising directions","volume":"391","author":"Foster","year":"2018","journal-title":"Lancet"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1382","DOI":"10.1097\/BRS.0000000000003065","article-title":"The long-term reoperation rate following surgery for lumbar herniated intervertebral disc disease: A nationwide sample cohort study with a 10-year follow-up","volume":"44","author":"Kim","year":"2019","journal-title":"Spine"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"613","DOI":"10.21037\/jss-20-586","article-title":"Complete resolution of chronic pain, sensory impairment, and motor dysfunction following percutaneous transforaminal endoscopic decompression in a failed back surgery syndrome patient\u2014a case report","volume":"6","author":"Gray","year":"2020","journal-title":"J Spine Surg"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1016\/j.wneu.2022.07.066","article-title":"Contraindications and complications of full endoscopic lumbar decompression for lumbar spinal stenosis: A systematic review","volume":"168","author":"Ju","year":"2022","journal-title":"World Neurosurg"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1186\/s13244-022-01246-z","article-title":"The current role and future directions of imaging in failed back surgery syndrome patients: An educational review","volume":"13","author":"Witkam","year":"2022","journal-title":"Insights Imaging"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"481","DOI":"10.1016\/j.jspd.2018.09.013","article-title":"Evolution in surgical approach, complications, and outcomes in an adult spinal deformity surgery multicenter study group patient population","volume":"7","author":"Daubs","year":"2019","journal-title":"Spine Deform"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"e028743","DOI":"10.1136\/bmjopen-2018-028743","article-title":"Lumbar spine surgery across 15 years: Trends, complications and reoperations in a longitudinal observational study from Norway","volume":"9","author":"Grotle","year":"2019","journal-title":"BMJ Open"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e830","DOI":"10.1016\/j.wneu.2018.01.170","article-title":"Percutaneous transforaminal endoscopic discectomy for adjacent segment disease after lumbar fusion in elderly patients over 65 years old","volume":"112","author":"Gu","year":"2018","journal-title":"World Neurosurg"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"e1070","DOI":"10.1016\/j.wneu.2019.07.087","article-title":"Percutaneous endoscopic lumbar foraminotomy for foraminal stenosis with postlaminectomy syndrome in geriatric patients","volume":"130","author":"Ahn","year":"2019","journal-title":"World Neurosurg"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"130","DOI":"10.3109\/17453679309160143","article-title":"Evaluation of results in lumbar spine surgery","volume":"251","author":"Nachemson","year":"1993","journal-title":"Acta Orthop Scand Suppl"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"219256822211413","DOI":"10.1177\/21925682221141385","article-title":"Non-invasive treatments for failed Back surgery syndrome: A systematic review. 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