Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 7: Lumbar fusion for intractable low-back pain without stenosis or spondylolisthesis

Update item information
Publication Type pre-print
School or College School of Medicine
Department Neurosurgery
Creator Dailey, Andrew T.
Other Author Eck, Jason C.; Sharan, Alok; Ghogawala, Zoher.; Resnick, Daniel K.; Watters III, William C.; Mummaneni, Praveen V.; Choudhri, Tanvir F.; Groff, Michael W.; Wang, Jeffrey C.; Dhall, Sanjay S.; Kaiser, Michael G ... et.al
Title Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 7: Lumbar fusion for intractable low-back pain without stenosis or spondylolisthesis
Date 2014-01-01
Description Establishing an appropriate treatment strategy for patients presenting with low-back pain, in the absence of stenosis or spondylolisthesis, remains a controversial subject. Inherent to this situation is often an inability to adequately identify the source of low-back pain to justify various treatment recommendations, such as lumbar fusion. The current evidence does not identify a single best treatment alternative for these patients. Based on a number of prospective, randomized trials, comparable outcomes, for patients presenting with 1- or 2-level degenerative disc disease, have been demonstrated following either lumbar fusion or a comprehensive rehabilitation program with a cognitive element. Limited access to such comprehensive rehabilitative programs may prove problematic when pursuing this alternative. For patients whose pain is refractory to conservative care, lumbar fusion is recommended. Limitations of these studies preclude the ability to present the most robust recommendation in support of lumbar fusion. A number of lesser-quality studies, primarily case series, also support the use of lumbar fusion in this patient population.
Type Text
Publisher American Association of Neurological Surgeons
Volume 21
Issue 1
First Page 42
Last Page 47
Language eng
Bibliographic Citation Eck, J. C., Sharan, A., Ghogawala, Z., Resnick, D. K., Watters III, W. C., Mummaneni, R.V., Dailey, A.T., Choudhri, T. F., Groff, M. W., Wang, J. C., Dhall, S. S., & Kaiser, M. G. (2014). Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 7: Lumbar fusion for intractable low-back pain without stenosis or spondylolisthesis. Journal of Neurosurgery: Spine, 21(1), 42-7.
Rights Management (c) American Association of Neurological Surgeons
Format Medium application/pdf
Format Extent 1,161,506 bytes
Identifier uspace,18811
ARK ark:/87278/s6z357sb
Setname ir_uspace
Date Created 2014-08-06
Date Modified 2014-08-07
ID 712611
Reference URL https://collections.lib.utah.edu/ark:/87278/s6z357sb
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