Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 7: intractable low-back pain without stenosis or spondylolisthesis.
Class I medical evidence exists in support of the use of lumbar fusion as a treatment standard for carefully selected patients with low-back pain intractable to the best medical management. There is Class III medical evidence that suggests that a course of intensive cognitive and physical therapy may be an efficacious treatment option for the treatment of patients with chronic disabling low-back pain.
Resnick
Daniel K
DK
Department of Neurosurgery, University of Wisconsin Medical School, Madison, Wisconsin 53792, USA. Resnick@neurosurg.wisc.edu
Choudhri
Tanvir F
TF
Dailey
Andrew T
AT
Groff
Michael W
MW
Khoo
Larry
L
Matz
Paul G
PG
Mummaneni
Praveen
P
Watters
William C
WC
Wang
Jeffrey
J
Walters
Beverly C
BC
Hadley
Mark N
MN
D006801:Humans; D017116:Low Back Pain / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery; D013122:Spinal Diseases / Q000601:surgery*; D013123:Spinal Fusion / Q000592:standards*; D013130:Spinal Stenosis; D013168:Spondylolisthesis