Abstract:
STUDY DESIGN:Literature review. OBJECTIVE:To describe the state of the literature regarding the performance of lumbar fusion for low back pain due to degenerative disease of the spine. SUMMARY OF BACKGROUND DATA:The effectiveness and costs associated with spinal surgery have been a topic of significant debate in both the popular press and professional literature. METHODS:Evidence-based medicine techniques have been applied to many areas of spinal surgery. The results of these analyses are being used by practicing physicians, payors, and others to determine what procedures are appropriate for certain patient populations. RESULTS:This manuscript describes the methodology, strengths, and weaknesses of evidence-based medicine approaches to spinal surgery. The case for lumbar fusion as a treatment for chronic low back pain due to degenerative disc disease is described as an example. CONCLUSION:Evidence-based medicine is a useful tool for summarizing and grading the evidence available in the literature for or against a particular treatment strategy. Its utility is limited by the quality of the primary literature, and the absence of proof cannot be equated with the proof of absence.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Resnick DKdoi
10.1097/BRS.0b013e318053d4b4subject
Has Abstractpub_date
2007-05-15 00:00:00pages
S15-9issue
11 Suppleissn
0362-2436issn
1528-1159pii
00007632-200705151-00004journal_volume
32pub_type
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