Review supports fusion for disc-related chronic low back pain

Review supports fusion for disc-related chronic low back pain
Clinical outcomes are positive for patients with chronic low back pain due to degenerative disc disease who undergo lumbar fusion, according to a review published in the April 1 issue of Spine.

(HealthDay)—Clinical outcomes are positive for patients with chronic low back pain due to degenerative disc disease who undergo lumbar fusion, according to a review published in the April 1 issue of Spine.

Frank M. Phillips, M.D., from Rush University Medical Center in Chicago, and colleagues conducted a systematic literature review and identified 26 articles to analyze clinical outcomes following lumbar fusion for due to . A total of 3,060 patients were included in the fusion cohorts.

The researchers found that there were weighted average improvements in the visual analogue scale for back pain (36.8/100), the (22.2), and in the Short-Form-36 Physical Component Scale (12.5). Across studies, patient satisfaction averaged 71.1 percent. The reoperation rate averaged 12.5 percent overall and 9.2 percent at the index level, while radiographical fusion rates averaged 89.1 percent. There was no significant difference in any of the outcome measures in collective studies, based on level of evidence.

"The body of literature supports fusion surgery as a viable treatment option for reducing pain and improving function in patients with chronic LBP refractory to nonsurgical care when a diagnosis of disc degeneration can be made," the authors write.

Several authors disclosed financial ties and patents; the study was partially funded by NuVasive Inc.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Lasting efficacy for minimally-invasive spinal fusion

Oct 03, 2012

(HealthDay)—For patients undergoing spinal fusion by minimally-invasive lateral lumbar interbody fusion (LLIF), the procedure is safe and effective based on a follow-up of at least two years, according ...

Pattern of disc degeneration impacts low back pain

Apr 12, 2012

(HealthDay) -- Contiguous, multilevel disc degeneration (CMDD) is associated with increased likelihood of low back pain (LBP) and pain severity compared with skipped level disc degeneration (SLDD), according ...

Recommended for you

Mali announces new Ebola case

10 hours ago

Mali announced Saturday a new case of Ebola in a man who is fighting for his life in an intensive care unit in the capital Bamako.

Plague outbreak kills 40 in Madagascar: WHO

10 hours ago

An outbreak of plague has killed 40 people in Madagascar, the World Health Organization said, warning that the disease could spread rapidly in the country's densely populated capital Antananarivo.

UN chief: Ebola cases in Mali a 'deep concern'

Nov 21, 2014

The United Nations chief warned Friday that Ebola may be easing in part of West Africa but is still hitting hard in other areas and outpacing the international response.

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.