Spine Fusion For Low Back Pain Remains Controversial- by The Evidence Based Chiropractor

"Overall, limited evidence suggests that spinal fusion compared with physical therapy improves pain and function for adults undergoing fusion for low back pain due to disc degeneration.  The evidence was insufficient to draw evidence-based conclusions for the benefits and harms of spinal fusion for patients with degenerative stenosis." - John Bartleson, MD

This quote was taken from a talk at the American Academy of Neurology Annual Meeting in late April 2014 in Philadelphia.  Later, he cited a 10% - 20% complication rate in the surgical candidates for these surgeries.  It is important to note that he links low back pain with degenerative stenosis and does not singularly identify the claudication associated stenosis.  Research regarding chiropractic flexion-distraction and stenosis has proven to be fruitful, however, many MD's are still unaware at how much of an impact flexion-distraction technique can have on patients suffering from stenosis. Additionally,  I have no seen a chiropractic complication rate (for flexion-distraction) even approach 1%; which is far superior for a surgical complication rate of 10 -20%.  

 

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