Journal of back and musculoskeletal rehabilitation
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J Back Musculoskelet Rehabil · Aug 2016
Review Meta AnalysisSurgical versus nonsurgical treatment of chronic low back pain: A meta-analysis based on current evidence.
There are still no clearly defined clinical-practice guidelines related to surgical intervention for chronic low back pain (CLBP) in the absence of serious structural problems such as instability, spinal stenosis, spondylolysis, infection, or neoplasm. There is also a lack of high-quality evidence regarding CLBP treatment. ⋯ For chronic low back pain, nonsurgical treatment was shown to be effective, feasible, and safe during the follow-up period. More randomized controlled trials are needed to compare surgical and nonsurgical treatment of chronic low back pain.
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J Back Musculoskelet Rehabil · Jan 2015
Meta Analysis Comparative StudyMeta-analysis of randomized trials comparing fusion surgery to non-surgical treatment for discogenic chronic low back pain.
Chronic low back pain causes socioeconomic burdens. Whether lumbar fusion is more effective than nonsurgical treatment of discogenic low back pain (DLBP) is controversial. Several randomized controlled trials that compared conservative treatment and fusion surgery had conflicting conclusions. ⋯ Fusion surgery was not superior to nonsurgical treatment in terms of changes in ODI scores for DLBP. Fusion surgery resulted in surgical complications. Longer follow-up observation is necessary regarding condition-specific disability, pain, and life satisfaction.