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- Title
No difference in 9-year outcome in CLBP patients randomized to lumbar fusion versus cognitive intervention and exercises.
- Authors
Froholdt, Anne; Reikeraas, Olav; Holm, Inger; Keller, Anne; Brox, Jens
- Abstract
Purpose: To compare the 9-year outcome in patients with chronic low back pain treated by instrumented lumbar fusion versus cognitive intervention and exercises. Methods: The main outcome measure was the Oswestry Disability Index (ODI). Secondary outcome measures included pain, fear-avoidance beliefs, trunk muscle strength, medication, and return to work. Results: One-third of the patients randomized to cognitive intervention and exercises had crossed over and been operated and one-third of the patients allocated to lumbar fusion had been re-operated. The intention-to-treat analysis detected no differences between the two groups. The mean adjusted treatment effect for ODI was 1.9 (95 % CI −7.8 to 11.6). Analysed according to the treatment received, more operated patients used pain medication and were out of work. Conclusions: The outcome at 9 years was not different between instrumented lumbar fusion and cognitive intervention and exercises.
- Subjects
BACKACHE; PAIN management; CLINICAL trials; PHYSICAL therapy; MUSCLE strength; PATIENTS
- Publication
European Spine Journal, 2012, Vol 21, Issue 12, p2531
- ISSN
0940-6719
- Publication type
Article
- DOI
10.1007/s00586-012-2382-0