Orthosis as prognostic instrument in lumbar fusion. No predictive value in 50 cases followed prospectively
(1995) In Journal of Spinal Disorders 8(4). p.8-284- Abstract
- To evaluate pain relief in a lumbar orthosis as a predictor for good clinical results after solid fusion, all patients scheduled for such a surgical procedure were preoperatively encouraged to use an orthosis, soft or rigid, for 3 weeks. Grade of back pain relief as a percent using the orthosis was assessed by the patients and was registered before surgery. After surgery, at 1-year follow-up, patients with nonunion demonstrated radiographically were excluded from the series. Thus, 50 patients with solid fusion could be identified and followed for at least 2 years prospectively. At follow-up these 50 patients graded the pain relief induced by the fusion. In the preoperative corset test, 31 patients experienced significant back pain relief,... (More)
- To evaluate pain relief in a lumbar orthosis as a predictor for good clinical results after solid fusion, all patients scheduled for such a surgical procedure were preoperatively encouraged to use an orthosis, soft or rigid, for 3 weeks. Grade of back pain relief as a percent using the orthosis was assessed by the patients and was registered before surgery. After surgery, at 1-year follow-up, patients with nonunion demonstrated radiographically were excluded from the series. Thus, 50 patients with solid fusion could be identified and followed for at least 2 years prospectively. At follow-up these 50 patients graded the pain relief induced by the fusion. In the preoperative corset test, 31 patients experienced significant back pain relief, meaning a reduction of at least 50%. No applicable correlation was found, however, between outcome in this corset test and the eventual clinical result expressed as improvement/no improvement after solid fusion. The two types of orthoses did not differ in this aspect. We conclude that the orthosis, rigid or soft, is not a useful instrument when selecting patients for lumbar fusion. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/32410
- author
- Axelsson, Paul ; Johnsson, Ragnar LU ; Strömqvist, Björn LU ; Nilsson, Lars T LU and Åkesson, M
- organization
- publishing date
- 1995
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Spinal Disorders
- volume
- 8
- issue
- 4
- pages
- 8 - 284
- publisher
- Lippincott Williams & Wilkins
- external identifiers
-
- scopus:0029085346
- ISSN
- 0895-0385
- language
- English
- LU publication?
- yes
- id
- f06227e1-ba52-4095-b00c-16031c386819 (old id 32410)
- date added to LUP
- 2016-04-01 17:08:53
- date last changed
- 2021-01-03 03:38:57
@article{f06227e1-ba52-4095-b00c-16031c386819,
abstract = {{To evaluate pain relief in a lumbar orthosis as a predictor for good clinical results after solid fusion, all patients scheduled for such a surgical procedure were preoperatively encouraged to use an orthosis, soft or rigid, for 3 weeks. Grade of back pain relief as a percent using the orthosis was assessed by the patients and was registered before surgery. After surgery, at 1-year follow-up, patients with nonunion demonstrated radiographically were excluded from the series. Thus, 50 patients with solid fusion could be identified and followed for at least 2 years prospectively. At follow-up these 50 patients graded the pain relief induced by the fusion. In the preoperative corset test, 31 patients experienced significant back pain relief, meaning a reduction of at least 50%. No applicable correlation was found, however, between outcome in this corset test and the eventual clinical result expressed as improvement/no improvement after solid fusion. The two types of orthoses did not differ in this aspect. We conclude that the orthosis, rigid or soft, is not a useful instrument when selecting patients for lumbar fusion.}},
author = {{Axelsson, Paul and Johnsson, Ragnar and Strömqvist, Björn and Nilsson, Lars T and Åkesson, M}},
issn = {{0895-0385}},
language = {{eng}},
number = {{4}},
pages = {{8--284}},
publisher = {{Lippincott Williams & Wilkins}},
series = {{Journal of Spinal Disorders}},
title = {{Orthosis as prognostic instrument in lumbar fusion. No predictive value in 50 cases followed prospectively}},
volume = {{8}},
year = {{1995}},
}