Lower Back Pain. Does the evidence support a surgical solution? Jennifer Holliday, MS4 August 24, 2007. Lower back pain (LBP) is a common complaint. 80% of persons in the US have had LBP at some point in their lives Back pain results in more lost productivity than any other medical condition
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Does the evidence support a surgical solution?
Jennifer Holliday, MS4
August 24, 2007
From Townsend: Sabiston Textbook of Surgery, 17th Ed.
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From Weber H. 1982 Lumbar disc herniation. A controlled, prospective study with ten years of observation. Spine. 1983;8:131-40. As cited in Birkmeyer NJ and JN Weinstein. Medical versus surgical treatment for low back pain: evidence and clinical practice. Effective Clinical Practice: September/October 1999.
Narrowing of spinal canal
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Birkmeyer NJ and JN Weinstein. Medical versus surgical treatment for low back pain: evidence and clinical practice. Effective Clinical Practice: September/October 1999.
Brox JI et al. Randomized clinical trial of lumbar instrumented fusion and cognitive intervention and exercises in patients with chronic low back pain and disc degeneration. SPINE 2003 28(17):1913-1921.
Canale: Campbell’s Operative Orthopaedics, 10th Ed. Lumbar Disc Disease.
Chou, R. Treatment of subacute and chronic low back pain. Pending publication on UpToDate at www.utdol.com.
Fairbank J et al. Randomised controlled trial to compare surgical stabilisation of the lumbar spine with an intensive rehabilitation programme for patients with low back pain: the MRC spine stabilisation trial. BMJ, doi:10.1136/bmj.38441.620417.BF (published 23 May 2005).
Jordan J et al. Herniated lumbar disc. BMJ Clinical Evidence 2005;12:1118.
Townsend: Sabiston Textbook of Surgery, 17th Ed.
Weinstein JN et al. Surgical vs nonoperative treatment for lumbar disk herniation. JAMA 2006;296(20):2451-2459.