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Due to the substantial efficacy of LSF in managing
lumbar degenerative disorders and predominant leg pain, it can be included in
the current course leading to improved patient outcomes.
A study published in European Spine journal
demonstrated significant improvement in pain and disability outcomes after
first-time lumbar spinal fusion for degenerative disorders.
Niek Koenders and colleagues validated the role of Lumbar spinal fusion
(LSF) in managing lumbar degenerative disorders. LSF works effectively by
stopping the movement of a painful vertebral segment through various methods.
However, there is a lack of evidence of related efficacy and recommendations.
To evaluate Lumbar spinal fusion efficacy in reducing pain and disability, Niek
Koenders and colleagues conducted a systematic review and meta-analysis of
patients suffering from degenerative issues after the first section of LSF.
A total of four databases were searched up to 31 March 2017 to collect
prospective cohort studies. The extracted data, related eligibility and risk of
bias were assessed by two independent researchers. Further, the assessment of
means and 95% confidence intervals were done through random effects model. The
primary survey was done only on complete data, whereas sensitivity analysis
involved all data.
The analysis involved 25 studies; 9 of overall pain,9 of leg pain and 12 of
disability. The total VAS score was reduced from 64 to 20 and leg pain from 70
to 17 after 24 months of surgery. The disability pain score (ODI) decreased
from 44.8 to 17.3 after 24 months of treatment. Homogeneous results were
noticed during sensitivity analysis.
Pain and disability was significantly reduced
after first-time LSF for degenerative disorders. Reduction in leg pain lasted for an extended period
as compared to disability and axial back pain.
Eur Spine J.
Pain and disability after first-time spinal fusion for lumbar degenerative disorders: a systematic review and meta-analysis
Niek Koenders et al.
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