title: Indications and outcomes of reconstructive surgery in chronic pain of spinal origin.
abstract: METHODS
  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.
authors.affiliation: SpineCare Medical Group, San Francisco Spine Institute, Daly City, California 94015, USA. pslosar@spinecare.com
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Slosar
mesh_terms: D002908:Chronic Disease; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery; D008161:Lumbosacral Region; D010148:Intractable Pain / Q000209:etiology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D013122:Spinal Diseases / Q000150:complications / Q000601:surgery*; D013123:Spinal Fusion / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome