Review supports fusion for disc-related chronic low back pain

April 10, 2013
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.

Explore further: Study questions effect of disc replacement on low back pain

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

Related Stories

Study questions effect of disc replacement on low back pain

January 8, 2013
(HealthDay)—Although total disc replacement for chronic low back pain due to degenerative disc disease yields statistically significant improvements compared to conventional fusion, the clinical relevance is unclear and ...

Tests don't predict outcome after spine fusion for back pain

November 15, 2012
(HealthDay)—Currently, there is no test available to reliably predict which patients with chronic low back pain (LBP) will achieve a good clinical outcome after spinal fusion surgery, according to the results of a literature ...

Lasting efficacy for minimally-invasive spinal fusion

October 3, 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 to research published ...

Pattern of disc degeneration impacts low back pain

April 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 to a study published ...

Study finds poorer outcomes for obese patients treated for lumbar disc herniation

January 10, 2013
While obese patients are more likely to have surgical treatment for lumbar disc herniation – a slipped or ruptured disc – than nonobese patients, obesity increases operative time, blood loss and length of hospital stay, ...

Complications following two-level axial lumbar interbody fusion

July 20, 2012
Surgeons from the Instituto de Patologia da Coluna in Sao Paulo, Brazil have found that an innovative minimally invasive surgical procedure performed to achieve two-level axial lumbar interbody fusion produced immediate successful ...

Recommended for you

New study offers insights on genetic indicators of COPD risk

January 16, 2018
Researchers have discovered that genetic variations in the anatomy of the lungs could serve as indicators to help identify people who have low, but stable, lung function early in life, and those who are particularly at risk ...

Previous influenza virus exposures enhance susceptibility in another influenza pandemic

January 16, 2018
While past exposure to influenza A viruses often builds immunity to similar, and sometimes different, strains of the virus, Canadian researchers are calling for more attention to exceptions to that rule.

Don't hold your nose and close your mouth when you sneeze, doctors warn

January 15, 2018
Pinching your nose while clamping your mouth shut to contain a forceful sneeze isn't a good idea, warn doctors in the journal BMJ Case Reports.

New antifungal provides hope in fight against superbugs

January 12, 2018
Microscopic yeast have been wreaking havoc in hospitals around the world—creeping into catheters, ventilator tubes, and IV lines—and causing deadly invasive infection. One culprit species, Candida auris, is resistant ...

Dengue takes low and slow approach to replication

January 11, 2018
A new study reveals how dengue virus manages to reproduce itself in an infected person without triggering the body's normal defenses. Duke researchers report that dengue pulls off this hoax by co-opting a specialized structure ...

Different strains of same bacteria trigger widely varying immune responses

January 11, 2018
Genetic differences between different strains of the same pathogenic bacterial species appear to result in widely varying immune system responses, according to new research published in PLOS Pathogens.

0 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.