title: Spine rehabilitation. Secondary and tertiary nonoperative care.
abstract: To achieve desirable behavioral outcomes, physicians treating spinal pain patients should be aware of appropriate algorithms for conservative care. Lower cost secondary rehabilitation can be effective if deconditioning, severity of physical symptoms, surgical equivocation, or psychosocial barriers to recovery are not present. Patients who have extended disability in excess of 6 months, recognized psychosocial barriers (depression, substance abuse, personality disorders, secondary gain), or severe deconditioning have a better prognosis with tertiary care.
authors.affiliation: Department of Orthopedic Surgery, University of Texas, Southwestern Medical Center at Dallas, USA..
authors.forename: T G
authors.initials: TG
authors.lastname: Mayer
authors.forename: P
authors.initials: P
authors.lastname: Polatin
authors.forename: B
authors.initials: B
authors.lastname: Smith
authors.forename: C
authors.initials: C
authors.lastname: Smith
authors.forename: R
authors.initials: R
authors.lastname: Gatchel
authors.forename: S A
authors.initials: SA
authors.lastname: Herring
authors.forename: H
authors.initials: H
authors.lastname: Hall
authors.forename: R G
authors.initials: RG
authors.lastname: Donelson
authors.forename: J
authors.initials: J
authors.lastname: Dickey
authors.forename: W
authors.initials: W
authors.lastname: English
mesh_terms: D006801:Humans; D013122:Spinal Diseases / Q000534:rehabilitation*; D016896:Treatment Outcome; D014938:Work Capacity Evaluation