Tag: Adult

2001 Volvo Award Winner in Clinical Studies: Lumbar fusion versus nonsurgical treatment for chronic low back pain: a multicenter randomized controlled trial from the Swedish Lumbar Spine Study Group.

Posted: December 5, 2015 at 8:09 am   /   Degenerative

This multicenter, randomized control trial out of Sweden was the 2001 Volvo Award Winner in Clinical Studies.   Fritzell et al randomized 294 patients into a surgical treatment group (n=222) versus a non-surgical group (N=72).  Patients were randomly assigned treatment and multiple validated outcome measures were utilized.  The overall goal of the study was to define “if lumbar fusion […]

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Accelerated degeneration of the segment adjacent to a lumbar fusion.

Posted: December 5, 2015 at 7:52 am   /   Degenerative

The study published by Lee in 1988 was intended to descriptively define conditions and pathomechanics at adjacent segments following a lumbar fusion.  This was at a time period where the effectiveness of lumbar fusion for low back pain was one of the foremost questions to be answered and potential complications of the procedure were largely […]

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A prospective, randomized study of lumbar fusion. Preliminary results.

Posted: December 2, 2015 at 3:20 pm   /   Degenerative

This  randomized study published in 1993 was one of the first to compare instrumentation to no instrumentation using the prospective approach.  One hundred and twenty four patients were included in this study who underwent surgery for a degenerative lumbar condition that included isthmic and degenerative spondylolisthesis, degenerative disc disease, scoliosis with spinal stenosis and repair […]

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Iliac crest bone graft harvest donor site morbidity. A statistical evaluation.

Posted: December 2, 2015 at 3:18 pm   /   General Spine

This paper published in 1995 is a case series of 261 patients that have had either posterior or anterior iliac crest harvesting for spinal fusion. With current utilization of bone graft substitutes including  bone marrow aspiration and BMP,    many of the more recently trained spine surgeons may not have had the experience of dealing with complications and […]

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Magnetic resonance imaging of the lumbar spine in people without back pain.

Posted: December 2, 2015 at 2:45 pm   /   Degenerative

This study published in 1994 was similar to that of one of the most widely cited studies looking at the presence of abnormal findings on MRI scans in asymptomatic patients by Boden et al (1990).    Jensen et al evaluated the lumbar MRI scans of 98 asymptomatic volunteers and 27 patients that were symptomatic with low […]

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Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation.

Posted: November 23, 2015 at 10:51 am   /   Degenerative

This study published by Boden et al in 1990 was a landmark study that continues to be one of the most referenced works of all time relating to spinal disorders. Despite this study being referenced over 1000 times in the medical literature, there are several modern day concerns /criticisms of this study that must be […]

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