Indications and outcomes of reconstructive surgery in chronic pain of spinal origin

Paul J. Slosar*, F. Todd Wetzel, Joshua Prager, Joel Saal, Barry Straus, Dennis Turk, Gunnar B.J. Andersson, James Neil Weinstein

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

Study Design. Peer-reviewed literature was reviewed and summarized. Objective. To synthesize the indications and published outcomes of reconstructive lumbar spine surgery for the treatment of chronic pain of spinal origin. Methods. A literature review was conducted. Results. The most common indication for reconstructive lumbar surgery is pain that is refractory to nonsurgical treatment. Lumbar fusion has been shown to improve symptoms in carefully selected patients with incapacitating pain. Conclusions. A successful arthrodesis is the fundamental surgical goal for patients with chronic pain of spinal origin. However, a successful fusion does not always correlate with a successful clinical result.

Original languageEnglish (US)
Pages (from-to)2555-2563
Number of pages9
JournalSpine
Volume27
Issue number22
DOIs
StatePublished - Nov 15 2002

Keywords

  • Arthrodesis
  • Fusion
  • Lumbar degeneration
  • Reconstructive surgery
  • Spinal pain

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Clinical Neurology

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