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)

Related Stories

Lasting efficacy for minimally-invasive spinal fusion

date 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

date 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

Score IDs patients with upper extremity DVT at low risk

date 1 hour ago

(HealthDay)—For patients with upper-extremity deep vein thrombosis (DVT), six easily available factors can be used to create a score that identifies those at low risk of adverse events during the first ...

Combined drug treatment combats kidney disease

date 12 hours ago

A recent discovery by drug researchers whereby coupling specific cell membrane receptors has altered kidney cell function has triggered a re-think of how to treat chronic kidney disease (CKD) more effectively.

Active substance targeting dreaded hospital germs

date 12 hours ago

In the German Center for Infection Research (DZIF), scientists have conducted clinical studies on an active substance against the dreaded hospital pathogen Staphylococcus aureus: a highly effective protein from bacteriophages ...

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.