Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 8: Lumbar fusion for disc herniation and radiculopathy

Update item information
Publication Type pre-print
School or College School of Medicine
Department Neurosurgery
Creator Dailey, Andrew T.
Other Author Wang, Jeffrey C.; Mummaneni, Praveen V.; Ghogawala, Zoher; Resnick, Daniel K.; Watters III, William C.; Groff, Michael W.; Choudhri, Tanvir F.; Eck, Jason C.; Sharan, Alok; Dhall, SanJay S.; Kaiser, Michael G.
Title Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 8: Lumbar fusion for disc herniation and radiculopathy
Date 2014-01-01
Description Patients suffering from a lumbar herniated disc will typically present with signs and symptoms consistent with radiculopathy. They may also have low-back pain, however, and the source of this pain is less certain, as it may be from the degenerative process that led to the herniation. The surgical alternative of choice remains a lumbar discectomy, but fusions have been performed for both primary and recurrent disc herniations. In the original guidelines, the inclusion of a fusion for routine discectomies was not recommended. This recommendation continues to be supported by more recent evidence. Based on low-level evidence, the incorporation of a lumbar fusion may be considered an option when a herniation is associated with evidence of spinal instability, chronic low-back pain, and/or severe degenerative changes, or if the patient participates in heavy manual labor. For recurrent disc herniations, there is low-level evidence to support the inclusion of lumbar fusion for patients with evidence of instability or chronic low-back pain.
Type Text
Publisher American Association of Neurological Surgeons
Volume 21
Issue 1
First Page 48
Last Page 53
Language eng
Bibliographic Citation Wang, J. C., Dailey, A. T., Mummaneni, P. V., Ghogawala, Z., Resnick, D. K., Watters III, W. C., Groff, M. W., Choudhri, T. F., Eck, J. C., Sharan, A., Dhall, S. S., & Kaiser, M. G. (2014). Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 8: Lumbar fusion for disc herniation and radiculopathy. Journal of Neurosurgery: Spine, 21(1), 48-53.
Rights Management (c) American Association of Neurological Surgeons
Format Medium application/pdf
Format Extent 948,140 bytes
Identifier uspace,18801
ARK ark:/87278/s6w415ds
Setname ir_uspace
Date Created 2014-08-06
Date Modified 2014-08-06
ID 712627
Reference URL https://collections.lib.utah.edu/ark:/87278/s6w415ds
Back to Search Results