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Comparison of spinal fusion and nonoperative treatment in patients with chronic low back pain: long-term follow-up of three randomized controlled trials.

Author: BroxJens Ivar, FairbankJeremy C T, MannionAnne F

Comparative StudyResearch that compares multiple groups/interventions to determine differences/similarities in outcomes/characteristics.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.

Overview

A long-term clinical follow-up of 473 patients with chronic low back pain randomized to receive either spinal fusion or multidisciplinary cognitive-behavioral and exercise rehabilitation found no significant difference in patient self-rated outcomes after an average of 11 years. These findings suggest that spinal fusion should not be favored over multidisciplinary cognitive-behavioral and exercise rehabilitation for cLBP, given the increased risks of surgery and the lack of deterioration in nonoperative outcomes.
Paper Details　
Original Abstract of the Article :
BACKGROUND CONTEXT: Chronic low back pain (cLBP) represents a major challenge to our health care systems. The relative efficacy of surgery over nonoperative treatment for the treatment of cLBP remains controversial, and little is known of the long-term comparative outcomes. PURPOSE: To compare the ...See full text at original site
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引用元：
https://doi.org/10.1016/j.spinee.2013.06.101

データ提供：米国国立医学図書館（NLM）

Spinal Fusion vs. Nonoperative Treatment for Chronic Low Back Pain: A Long-Term Perspective

Chronic low back pain (cLBP) is a pervasive health issue that can significantly impact a person's quality of life. This study compares the long-term effectiveness of spinal fusion surgery to nonoperative treatment, including multidisciplinary cognitive-behavioral and exercise rehabilitation, for patients with cLBP. The study found no significant difference in outcomes between the two approaches after an average of 11 years of follow-up, suggesting that nonoperative treatment may be a viable alternative to surgery for cLBP.

The Spine's Journey: A Long-Term Comparison of Treatment Options

The study's findings are like a camel caravan embarking on a long journey through the desert of chronic pain, comparing the effectiveness of two different paths. The authors found that both spinal fusion surgery and nonoperative treatment had similar long-term outcomes, suggesting that nonoperative treatment may be a viable alternative for many patients with cLBP. The study's results provide valuable information for patients and healthcare providers making decisions about cLBP treatment.

Managing Chronic Pain: Exploring Non-Surgical Options

This research highlights the importance of considering nonoperative treatment options for cLBP. Just as a camel caravan relies on its strength and resilience to navigate the desert, patients with cLBP can benefit from strategies that empower them to manage their pain and improve their quality of life. The study's findings encourage a more holistic approach to cLBP management, emphasizing the role of multidisciplinary care and non-surgical interventions.

Dr. Camel's Conclusion

This study demonstrates that nonoperative treatment can be a viable alternative to surgery for cLBP. It's like a camel caravan discovering a hidden oasis in the desert, offering a path to healing and well-being without resorting to surgery. The study's findings provide valuable information for individuals with cLBP and their healthcare providers, encouraging a more comprehensive approach to pain management.

Date :
  1. Date Completed 2014-08-11
  2. Date Revised 2018-12-02
Further Info :

Pubmed ID

24200413

DOI: Digital Object Identifier

10.1016/j.spinee.2013.06.101

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Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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