Is lumbar fusion necessary for chronic low back pain associated with degenerative disk disease? A meta-analysis

Review written by Todd Hargrove info

Key Points

  1. Lumbar fusion for treatment of chronic low back pain associated with degenerative disc disease was not superior to non-operative care for pain relief and disability.
All key points available for members only

BACKGROUND & OBJECTIVE

Chronic low back pain continues to be a major challenge facing health care systems. Lumbar fusion is a common procedure for treatment of low back pain in the presence of degenerative disc disease. This paper was a meta-analysis that examined the safety and efficacy of lumbar fusion versus non-operative care.

Lumbar fusion is a common procedure for treatment of low back pain in the presence of degenerative disc disease.
bulb
Clinicians should be aware that, based on current evidence, lumbar fusion is not a good choice for most patients with chronic low back pain.

METHODS

This meta-analysis included prospective studies comparing lumbar fusion to non-operative care for adults with at least one year of chronic low back pain and degenerative disease of the lumbar spine.

to unlock full access to this review and 748 more