Spine
-
Systematic review of literature focused on heterogeneity of treatment effect analysis. ⋯ We recommend optimizing the management of medical co-morbidities and smoking cessation before considering surgical fusion in CLBP patients. Strength of recommendation: Weak.
-
Randomized Controlled Trial Multicenter Study Comparative Study
Function after spinal treatment, exercise, and rehabilitation: cost-effectiveness analysis based on a randomized controlled trial.
Cost-effectiveness analysis alongside a factorial randomized controlled trial. ⋯ Cost-effectiveness evidence does not support use of booklet over no booklet or rehabilitation over no rehabilitation for the postoperative management of patients after spinal surgery.
-
Systematic review. ⋯ There currently are many classification systems for CLBP; some that are descriptive, some prognostic, and some that attempt to direct treatment. We recommend that no one classification system be adopted for all purposes. We further recommend that future efforts in developing a classification system focus on one that helps to direct both surgical and nonsurgical treatments.
-
Systematic review. ⋯ Sociodemographic factors should be considered when making treatment decisions for patients with chronic low back pain, but alone do not preclude fusion for chronic low back pain. Strength of recommendation: Weak.
-
Multicenter Study
Risk factors for medical complication after lumbar spine surgery: a multivariate analysis of 767 patients.
Multivariate analysis of prospectively collected registry data. ⋯ Risk factors identified in this study can be beneficial to clinicians and patients alike when considering surgical treatment of the lumbar spine. Future analyses and models that predict the occurrence of medical complication after lumbar spine surgery may be of further benefit for surgical decision making.