Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 14: Brace therapy as an adjunct to or substitute for lumbar fusion

Update item information
Publication Type pre-print
School or College School of Medicine
Department Neurosurgery
Creator Dailey, Andrew T.
Other Author Ghogawala, Zoher; Choudhri, Tanvir F.; Watters III, William C.; Resnick, Daniel K.; Sharan, Alok; Eck, Jason C.; Mummaneni, Praveen V.; Wang, Jeffrey C.; Groff, Michael W.; Dhall, SanJay. S.; Kaiser, Michael G.
Title Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 14: Brace therapy as an adjunct to or substitute for lumbar fusion
Date 2014-01-01
Description The utilization of orthotic devices for lumbar degenerative disease has been justified from both a prognostic and therapeutic perspective. As a prognostic tool, bracing is applied prior to surgery to determine if immobilization of the spine leads to symptomatic relief and thus justify the performance of a fusion. Since bracing does not eliminate motion, the validity of this assumption is questionable. Only one low-level study has investigated the predictive value of bracing prior to surgery. No correlation between response to bracing and fusion outcome was observed; therefore a trial of preoperative bracing is not recommended. Based on low-level evidence, the use of bracing is not recommended for the prevention of low-back pain in a general working population, since the incidence of low-back pain and impact on productivity were not reduced. However, in laborers with a history of back pain, a positive impact on lost workdays was observed when bracing was applied. Bracing is recommended as an option for treatment of subacute low-back pain, as several higher-level studies have demonstrated an improvement in pain scores and function. The use of bracing following instrumented posterolateral fusion, however, is not recommended, since equivalent outcomes have been demonstrated with or without the application of a brace.
Type Text
Publisher American Association of Neurological Surgeons
Volume 21
Issue 1
First Page 91
Last Page 101
Language eng
Bibliographic Citation Dailey, A. T., Ghogawala, Z., Choudhri, T. F., Watters III, W. C., Resnick, D. K., Sharan, A., Eck, J. C., Mummaneni, P. V., Wang, J. C., Groff, M. W., Dhall, S. S., & Kaiser, M. G. (2014). Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 14: Brace therapy as an adjunct to or substitute for lumbar fusion. Journal of Neurosurgery: Spine, 21(1), 91-101.
Rights Management (c) American Association of Neurological Surgeons
Format Medium application/pdf
Format Extent 1,314,993 bytes
Identifier uspace,18803
ARK ark:/87278/s66m6gz6
Setname ir_uspace
Date Created 2014-08-06
Date Modified 2014-08-06
ID 712609
Reference URL https://collections.lib.utah.edu/ark:/87278/s66m6gz6
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