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DOI: 10.1055/s-2000-13224
ARGUMENT AGAINST LUMBAR FUSION FOR LOW BACK PAIN
Publication History
Publication Date:
31 December 2000 (online)


ABSTRACT
The diagnosis and treatment of low back pain has always been a challenging undertaking. The etiology of the pain has been postulated to arise from a degenerated, disrupted intervertebral disc. The provocation discogram has become the standard diagnostic method for this entity. The provocation discogram is an imperfect test because of a potentially high false-positive rate and poor positive predictive value. Lumbar arthrodesis has become an accepted means of treating the ``painful disc.'' Surgical series with independent observers have reported favorable outcomes approaching only 50%. Improved methods of diagnosis along with more rigorous evaluation of surgical outcomes are needed if we are to consider lumbar arthrodesis a reasonable treatment alternative for low back pain.
KEYWORD
Lumbar fusion - provocation discogram - low back pain