Spinal fusion
In medicine, spinal fusion is "operative immobilization or ankylosis of two or more vertebrae by fusion of the vertebral bodies with a short bone graft or often with diskectomy or laminectomy."[1]
Effectiveness
Several systematic reviews of spinal fusion for chronic nonspecific lumbalgia have been performed."Surgery for radiculopathy with herniated lumbar disc and symptomatic spinal stenosis is associated with short-term benefits compared to nonsurgical therapy, though benefits diminish with long-term follow-up in some trials" according to one systematic review. [2]"Surgery may be more efficacious than unstructured nonsurgical care for chronic back pain but may not be more efficacious than structured cognitive-behavior therapy" according to one systematic review.[3]
Several randomized controlled trials of spinal fusion for chronic nonspecific lumbalgia have been performed.
References
- ↑ Anonymous (2024), Spinal fusion (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Chou R, Baisden J, Carragee EJ, Resnick DK, Shaffer WO, Loeser JD (2009). "Surgery for low back pain: a review of the evidence for an American Pain Society Clinical Practice Guideline.". Spine (Phila Pa 1976) 34 (10): 1094-109. DOI:10.1097/BRS.0b013e3181a105fc. PMID 19363455. Research Blogging. Review in: Ann Intern Med. 2009 Oct 20;151(8):JC4-11 Review in: Evid Based Med. 2009 Dec;14(6):180-1
- ↑ Mirza SK, Deyo RA (2007). "Systematic review of randomized trials comparing lumbar fusion surgery to nonoperative care for treatment of chronic back pain.". Spine (Phila Pa 1976) 32 (7): 816-23. DOI:10.1097/01.brs.0000259225.37454.38. PMID 17414918. Research Blogging.