Review: Evidence for the effectiveness of surgery for low back pain, radiculopathy, and spinal stenosis is limited

Rothschild, Bruce; Chou, R.
October 2009
ACP Journal Club;10/20/2009, Vol. 151 Issue 4, p8
Academic Journal
The article discusses a study conducted to evaluate if surgery is an effective treatment for nonradicular low back pain, radiculopathy, or symptomatic spinal stenosis. The results indicate that surgical studies analysed were found inconsistent. It also states that accurate diagnosis of pain is essential as treatment may differ depending on the etiology of a particular pattern of back pain as intensive rehabilitation with cognitive behavioral therapy was of equal value to fusion surgery.


Related Articles

  • LASIK and the Germ Theory of Disease. Maloney, Robert K. // Review of Ophthalmology;Nov2001 Supplement, Vol. 8, p45 

    Examines the germ theory of diseases and the use of laser epithelial keratomileusis (Lasik) in refractive surgery in Vienna, Austria. Consideration of sterile technique in Lasik; Factors contributing to the Lasik infections; Importance of hand washing with chlorine solution before examining...

  • Horner's syndrome as a complication in thoracic surgical practice Kaya, Seyda Ors; Liman, Serife Tuba; Bir, Levent Sinan; Yuncu, Gokhan; Erbay, Hakan Riza; Unsal, Saban // European Journal of Cardio-Thoracic Surgery;Dec2003, Vol. 24 Issue 6, p1025 

    Objective: To determine the incidence, reasons and prognosis about Horner''s syndrome in thoracic surgical patients. Methods: In this prospective clinical study, 933 adult patients were assessed between the years of 1998 and 2002. All patients who underwent chest tube insertion (n: 662 patients)...

  • THE DILATED URETER. Confer, Stephen D.; Frimberger, Dominic; Kropp, Bradley P. // Contemporary Urology;Jun2006, Vol. 18 Issue 6, p44 

    Provides information on diagnosis and management of primary obstructed megaureter. Terms that have been applied to ureters of abnormal caliber; Etiology and presentation; Evaluation of prenatally diagnosed megaureter; Indications for surgery; Surgical methods of repair. INSET: Embryology.

  • The etiology of intestinal obstruction in patients... McCloy, Colleen; Brown, Thomas C.; Bolton, John S.; Bowen, John C.; Fuhrman, George M. // American Surgeon;Jan1998, Vol. 64 Issue 1, p19 

    Evaluates the etiology of intestinal obstruction in patients without a prior history of laparotomy or physical examination evidence of a hernia. Methods used on the study; Etiology of obstruction determined at surgery; Ability to determine the etiology of obstruction preoperatively and the...

  • Relevance of Group Milleri Streptococci in Thoracic Surgery: A Clinical Update. Stelzmueller, I.; Biebl, M.; Berger, N.; Eller, M.; Mendez, J.; Fille, M.; Angerer, K.; Schmid, T.; Lorenz, I.; Margreiter, R.; Bonatti, H. // American Surgeon;May2007, Vol. 73 Issue 5, p492 

    Group Milleri streptococci (GMS), a heterogeneous group of streptococci, are associated with purulent infections. This study was a retrospective analysis of all consecutive thoracic infections of GMS between 2001 and 2004. Of 246 surgical GMS infections, thoracic infections accounted for 4.5 per...

  • Long bone reconstruction using multilevel lengthening of bone defect fragments. Borzunov, Dmitry // International Orthopaedics;Aug2012, Vol. 36 Issue 8, p1695 

    Purpose: This paper presents experimental findings to substantiate the use of multilevel bone fragment lengthening for managing extensive long bone defects caused by diverse aetiologies and shows its clinical introduction which could provide a solution for the problem of reducing the total...

  • Arterial Dissection as a Cause of Stroke. Jay, Venita // Journal of Insurance Medicine;2005, Vol. 37 Issue 3, p240 

    Focuses on primary arterial dissection excluding etiologies such as Marfan's syndrome, which can be associated with aortic arch dissection extending into the origins of carotid arteries. Cervical arterial dissection; Association between chiropractic spinal manipulation and vertebral arterial...

  • Invagination epididymovasostomy during vasectomy reversal. Purohit, Rajveer S.; Turek, Paul; Lange, Paul H. // Contemporary Urology;Oct2002, Vol. 14 Issue 10, p71 

    Looks at the development of epididymovasostomy urologic microsurgery procedure. Background on the surgical procedure used to correct male reproductive tract obstruction; Common etiology of epididymal obstruction; Factors to be considered in selecting patients eligible for epididymovasostomy;...

  • Idiopathic ischemic priapism. Levine, Laurence A.; Estrada, Carlos R.; Latchamsetty, Kalyan C. // Contemporary Urology;May2004, Vol. 16 Issue 5, p25 

    Presents information on preventing the recurrence of idiopathic ischemic priapism (RIIP). Etiology and classification of ischemic priapism; Use of hormonal manipulation in treatment and prevention of RIIP; Opinion on prosthetic surgery as a treatment for RIIP. INSETS: CASE 1;CASE 2.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics