Keep Moving! A new study found nonoperative treatments were just as effective at reducing pain and disability as spinal fusion surgery for patients with lumbar degenerative disc disease.
PT found effective as spinal fusion for pain Nonoperative treatments, including physical therapy, were just as effective at reducing pain and disability as spinal fusion surgery for patients with lumbar degenerative disc disease. Nonoperative treatments, including physical therapy, were just as effective at reducing pain and disability as spinal fusion surgery for patients with lumbar degenerative disc disease, according to a recent study.
According to an American Physical Therapy Association survey, 61% of U.S. residents experience low back pain, of which degenerative disc disease is one cause. The same survey found just 40% of those with low back pain will try movement as a way to relieve the pain.
Researchers with the University of Virginia Health Sciences Center, Charlottesville, and the Thomas Jefferson University Hospital, Philadelphia, reviewed 200 consecutive patients with back pain and concordant lumbar discogram who were offered the option of spinal fusion then followed up with the patients to compare outcomes of those who chose fusion or nonoperative treatments, such as physical therapy. Their study was published online Sept. 17 in the journal World Neurosurgery.
The team used follow-up questionnaires including the pain score, Oswestry Disability Index, SF-12 and satisfaction scale. Researchers conducted follow-ups with 96 patients (48%). Patients who lacked follow-up data were slightly older and less likely to be smokers. Overall, pain score at initial visit, body-mass index and gender were not significantly different between patients with and without follow-up results.
Of the 96 patients with follow-up, 53 were in the operative group and 43 were in the nonoperative group. The researchers found no significant differences between the groups based on age, pain score, BMI, smoking or gender at baseline. The average amount of time that elapsed before follow-up was 63 months and 58 months for the operative and nonoperative groups, respectively.
According to the findings, patients in both groups reported much less pain at the final follow-up. The authors concluded the two groups �did not demonstrate a significant difference in outcomes measures of pain, health status, satisfaction or disability.�