Intern Med J December 2018 PMID 30517997

Lumbar spine fusion: what is the evidence?

Ian A Harris, Adrian Traeger, Ralph Stanford, Christopher G Maher, Rachelle Buchbinder

Mentions

85
Peak: 32 in Apr 2019
across 6 sources since Dec 2018

Extended reach

487,212
potential audience

Total likes

258

Video views

696

Mentions per month

Dec 2018 – Dec 2024

Where it's discussed

  • X / Twitter72 posts
  • Facebook5 posts
  • News4 articles
  • YouTube2 videos
  • Bluesky1 posts
  • Reddit1 posts

AI synopsis

What people are saying

The discussions reflect a critical stance on lumbar spine fusion, with comments like 'spinal fusions in particular are infamous for not helping' and references to authoritative reviews stating that fusion offers no clear benefit over non-operative options. The tone emphasizes skepticism and advocates for evidence-based, conservative treatments, using words like 'confounding', 'ineffective', and 'should not have been done' which underscore the low perceived efficacy and potential consequences of unnecessary surgeries.

AgreementStrong agreement

Most discussions highlight that the evidence for lumbar spine fusion is weak or nonexistent, with multiple posts citing systematic reviews and reviews by reputable institutions that dismiss its benefits over non-operative treatments.

InterestHigh interest

The social discussions express high curiosity and concern about the evidence and treatment effectiveness, with many comments referencing recent reviews, studies, and clinical implications.

EngagementHigh engagement

Posts involve detailed analysis, referencing specific research papers, systematic reviews, and clinical practices, which indicates deep engagement in understanding and evaluating the evidence.

ImpactHigh impact

The emphasis on the lack of proven benefits and calls for relying on non-surgical approaches could influence clinical decision-making and patient choices, signaling a high potential impact on treatment practices and patient awareness.

Abstract in brief

  • Lumbar spine fusion is a common, high-cost procedure with significant risks, but current evidence from systematic reviews and trials is generally of low quality.
  • The evidence suggests that spine fusion does not provide clear benefits over nonoperative treatments for conditions like back pain from degeneration or thoracolumbar fractures; benefits for other conditions like spondylolisthesis are also unclear.
  • Patients should be fully informed about the limited and low-quality evidence before opting for spinal fusion, including potential benefits and risks compared to nonoperative options.]

Top posts

Most liked on X and Bluesky
Peter O'Sullivan
@PeteOSullivanPT · X

Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://t.co/dfVgVqtV9I

Apr 11, 2019 · 67 likes · 23 shares · 57,421 followers View post →
د. محــمد الرويـلي
@DrAlrwaily · X

كثير من جراحات العمود الفقري لمشاكل أسفل الظهر مقننة ومرخصة ولا دليل يدعمها سوى اعتقاد الجراح أنها تنفع. هذا كلام أكبر جراحي وعلماء ألم أسفل الظهر

Sep 22, 2020 · 48 likes · 13 shares · 23,485 followers View post →
Adam Dobson
@adamdobson123 · X

Found it ha.... Lumbar spine fusion: what is the evidence? https://t.co/vKjLEU2nr5

May 21, 2021 · 43 likes · 8 shares · 12,694 followers View post →
Dr Tariq Tramboo
@tariqtramboo · X

Spine fusion surgery: The available evidence does not support a benefit from spine fusion compared to non-operative alternatives for back pain associated with degeneration. #Spinesurgery #ChronicPain https://t.co/LRJUJnKhhx

May 30, 2021 · 16 likes · 1 share · 114,946 followers View post →
The IMJ
@The_IMJ · X

IMJ 48:12 CP on ' Lumbar spine fusion' continues creating a stir - clocks an Altimetric score of 274 (in the elite top 5% of all research outputs scored by Altmetric) ! https://t.co/ADA6Z8gcub @marrow @TheRACP @CGMMaher @RachelleBuchbin @adrian_traeger https://t.co/EV1tIt3OUn https://t.co/sPhmULEEJQ

Apr 9, 2019 · 11 likes · 7 shares · 477 followers View post →
Adam Dobson
@adamdobson123 · X

Such confounding findings make it challenging to determine relevance. Any associations cannot be interpreted confidently as causal. The role of such findings also do not change management . Spinal fusion for example has been shown to be ineffective. https://t.co/m3jb2EFTB1

Mar 25, 2023 · 10 likes · 1 share · 12,694 followers View post →

All mentions

Stephen Boisvert
@srboisvert.bsky.social · Bluesky

Apropos of something in particular I just googled spinal fusion surgery effectiveness and the google AI gave me a summary of SEO spam from spinal surgery clinics. The first actual link, from the Mayo clinic, said no more effective than non-surgical treatments. Shortly after that an -ve NIH review

Dec 10, 2024 · 2 likes · 1 share View post →
victorious nonbinary candy
@fatal_drum · X

@PleaseNoWhy1 @ameliaamity @adamfare1996 Spinal fusions in particular are infamous for not helping. I've never met a single person who's had it and been happy with the results. https://t.co/lwmIZg4z7h

Apr 13, 2024 · 302 followers View post →
Travis Jewett
@DrJewett · X

3/3: and lots of fusions get done that probably should not have been done. When that happens, the patient is in for a bad time. https://t.co/W0wLBpxXL8

Dec 28, 2023 · 1 like · 818 followers View post →
Adam Dobson
@adamdobson123 · X

As of 2018 no reviews of RCTs or RCTs comparing fusion to any other treatment for degenerative scoliosis. Any change here? When does a congenital scoliosis become degenerative scoliosis when seen in the middle aged pt Interesting review of fusion here https://t.co/R7y2JoIKbW

Jul 12, 2023 · 3 likes · 12,694 followers View post →
Adam Dobson
@adamdobson123 · X

@neilorpen Lumbar spine fusion: what is the evidence!! https://t.co/m3jb2EFTB1

Jun 9, 2023 · 12,694 followers View post →
Mark Laslett
@marklaslett_NZ · X

RT @adamdobson123: Such confounding findings make it challenging to determine relevance. Any associations cannot be interpreted confidently…

Mar 30, 2023 · 1 share · 9,422 followers View post →
Adam Dobson
@adamdobson123 · X

Such confounding findings make it challenging to determine relevance. Any associations cannot be interpreted confidently as causal. The role of such findings also do not change management . Spinal fusion for example has been shown to be ineffective. https://t.co/m3jb2EFTB1

Mar 25, 2023 · 10 likes · 1 share · 12,694 followers View post →
PhysioShow
@Physio_Show · X

For such a common condition, why do we suck at treating low back pain? In this video, we discuss the medical blunders in managing nonspecific low back pain as well as the benefits of physical therapy. https://t.co/f8L8Mhw9Bv

Feb 13, 2023 · 1 like · 10 followers View post →
Adam Dobson
@adamdobson123 · X

2/2 But yet, Intervention to 'fix it' them, in this case fusion do not work. https://t.co/m3jb2EFTB1 Cause. Sedentary lifestyles ? Genetics ? Dunno Can we test it ? Expensive tests are equivocal. https://t.co/E5a5nvWxv9 Does it change management or inform outcome. Nope.

Apr 18, 2022 · 5 likes · 12,694 followers View post →
Adam Dobson
@adamdobson123 · X

@anatomy_matters Surprising. Pathway we follow does not include. Check evidence in this nice review below https://t.co/m3jb2EFTB1 Its not on the table I am afraid

Oct 2, 2021 · 1 like · 12,694 followers View post →
Mohammad Altaf Mir
@MirAltaf4You · X

RT @tariqtramboo: Spine fusion surgery: The available evidence does not support a benefit from spine fusion compared to non-operative alter…

May 30, 2021 · 1 share · 280 followers View post →
Dr Tariq Tramboo
@tariqtramboo · X

Spine fusion surgery: The available evidence does not support a benefit from spine fusion compared to non-operative alternatives for back pain associated with degeneration. #Spinesurgery #ChronicPain https://t.co/LRJUJnKhhx

May 30, 2021 · 16 likes · 1 share · 114,946 followers View post →
Dr. Travis Bissonette
@TravoliRavioli · X

RT @adamdobson123: Found it ha.... Lumbar spine fusion: what is the evidence? https://t.co/vKjLEU2nr5

May 24, 2021 · 8 shares · 31 followers View post →
ChrisMatsias
@cmphysio · X

RT @adamdobson123: Found it ha.... Lumbar spine fusion: what is the evidence? https://t.co/vKjLEU2nr5

May 23, 2021 · 8 shares · 229 followers View post →
Ryan Evans
@ryanmarcevans · X

RT @adamdobson123: Found it ha.... Lumbar spine fusion: what is the evidence? https://t.co/vKjLEU2nr5

May 22, 2021 · 8 shares · 51 followers View post →
THE MAGIC SPONGE
@nrlmagicsponge · X

RT @adamdobson123: Found it ha.... Lumbar spine fusion: what is the evidence? https://t.co/vKjLEU2nr5

May 21, 2021 · 8 shares · 647 followers View post →
Ben Bradford
@BenBradford5 · X

RT @adamdobson123: Found it ha.... Lumbar spine fusion: what is the evidence? https://t.co/vKjLEU2nr5

May 21, 2021 · 8 shares · 520 followers View post →
Adam Dobson
@adamdobson123 · X

Found it ha.... Lumbar spine fusion: what is the evidence? https://t.co/vKjLEU2nr5

May 21, 2021 · 43 likes · 8 shares · 12,694 followers View post →
Parivesh K.
@Parivk · X

RT @adrian_traeger: New paper led by Prof Ian Harris just out in @The_IMJ @RACP: "Lumbar spine fusion: what is the evidence?" You might b…

Mar 9, 2021 · 54 shares · 32 followers View post →
♊️ Moe Althagafi
@MohamadKHL · X

RT @DrAlrwaily: كثير من جراحات العمود الفقري لمشاكل أسفل الظهر مقننة ومرخصة ولا دليل يدعمها سوى اعتقاد الجراح أنها تنفع. هذا كلام أكبر جرا…

Oct 16, 2020 · 13 shares · 186 followers View post →
Dr.Ahmad A. Alharbi
@KPTAWCPT · X

RT @DrAlrwaily: كثير من جراحات العمود الفقري لمشاكل أسفل الظهر مقننة ومرخصة ولا دليل يدعمها سوى اعتقاد الجراح أنها تنفع. هذا كلام أكبر جرا…

Oct 16, 2020 · 13 shares · 11,854 followers View post →
saeed
@Eight27391764 · X

RT @DrAlrwaily: كثير من جراحات العمود الفقري لمشاكل أسفل الظهر مقننة ومرخصة ولا دليل يدعمها سوى اعتقاد الجراح أنها تنفع. هذا كلام أكبر جرا…

Sep 23, 2020 · 13 shares · 22 followers View post →
محمد
@mohammadsaffar · X

RT @DrAlrwaily: كثير من جراحات العمود الفقري لمشاكل أسفل الظهر مقننة ومرخصة ولا دليل يدعمها سوى اعتقاد الجراح أنها تنفع. هذا كلام أكبر جرا…

Sep 23, 2020 · 13 shares · 213 followers View post →
munir mansor
@lamsetshefa · X

RT @DrAlrwaily: كثير من جراحات العمود الفقري لمشاكل أسفل الظهر مقننة ومرخصة ولا دليل يدعمها سوى اعتقاد الجراح أنها تنفع. هذا كلام أكبر جرا…

Sep 23, 2020 · 13 shares · 352 followers View post →
Dr Suad Alanzi
@DrS_Alanzi67 · X

RT @DrAlrwaily: كثير من جراحات العمود الفقري لمشاكل أسفل الظهر مقننة ومرخصة ولا دليل يدعمها سوى اعتقاد الجراح أنها تنفع. هذا كلام أكبر جرا…

Sep 23, 2020 · 13 shares · 382 followers View post →
Ali Aldawood
@aldawood7 · X

RT @DrAlrwaily: كثير من جراحات العمود الفقري لمشاكل أسفل الظهر مقننة ومرخصة ولا دليل يدعمها سوى اعتقاد الجراح أنها تنفع. هذا كلام أكبر جرا…

Sep 23, 2020 · 13 shares · 37 followers View post →
ناصر الليفان
@nasserpt1433 · X

RT @DrAlrwaily: كثير من جراحات العمود الفقري لمشاكل أسفل الظهر مقننة ومرخصة ولا دليل يدعمها سوى اعتقاد الجراح أنها تنفع. هذا كلام أكبر جرا…

Sep 23, 2020 · 13 shares · 249 followers View post →
Mohammed wali
@m_wali14 · X

RT @DrAlrwaily: كثير من جراحات العمود الفقري لمشاكل أسفل الظهر مقننة ومرخصة ولا دليل يدعمها سوى اعتقاد الجراح أنها تنفع. هذا كلام أكبر جرا…

Sep 23, 2020 · 13 shares · 71 followers View post →
Saad Al-Omar
@iSaadAlomar · X

RT @DrAlrwaily: كثير من جراحات العمود الفقري لمشاكل أسفل الظهر مقننة ومرخصة ولا دليل يدعمها سوى اعتقاد الجراح أنها تنفع. هذا كلام أكبر جرا…

Sep 23, 2020 · 13 shares · 409 followers View post →
راكان الوابل
@RakanAlwabel · X

RT @DrAlrwaily: كثير من جراحات العمود الفقري لمشاكل أسفل الظهر مقننة ومرخصة ولا دليل يدعمها سوى اعتقاد الجراح أنها تنفع. هذا كلام أكبر جرا…

Sep 23, 2020 · 13 shares · 4,166 followers View post →
علاء بازيد Alaa Bazaid
@alaabazaid · X

RT @DrAlrwaily: كثير من جراحات العمود الفقري لمشاكل أسفل الظهر مقننة ومرخصة ولا دليل يدعمها سوى اعتقاد الجراح أنها تنفع. هذا كلام أكبر جرا…

Sep 23, 2020 · 13 shares · 10,008 followers View post →
د. محــمد الرويـلي
@DrAlrwaily · X

كثير من جراحات العمود الفقري لمشاكل أسفل الظهر مقننة ومرخصة ولا دليل يدعمها سوى اعتقاد الجراح أنها تنفع. هذا كلام أكبر جراحي وعلماء ألم أسفل الظهر

Sep 22, 2020 · 48 likes · 13 shares · 23,485 followers View post →
Adrian Traeger
@adrian_traeger · X

RT @giovanni_ef: @wildebeestz @AnneM67993158 @liammannix @DrCameronMurray This is a good summary of the current evidence https://t.co/X9YFr…

Dec 30, 2019 · 1 share · 1,826 followers View post →
Giovanni Ferreira
@giovanni_ef · X

@wildebeestz @AnneM67993158 @liammannix @DrCameronMurray This is a good summary of the current evidence https://t.co/X9YFr9DvQZ

Dec 29, 2019 · 8 likes · 1 share · 2,414 followers View post →
INSIGHTS Orthopedics
@InsightsOrtho · X

Lumbar spine fusion: what is the evidence? https://t.co/GGF8JID70P

Jun 3, 2019 · 85 followers View post →
ZangPT
@AMZangDPT · X

"The available evidence does not support the hypothesis that spine fusion confers a clinical benefit compared to non-operative alternatives for low back pain associated with degeneration" https://t.co/BiD1IRS1iC

May 1, 2019 · 236 followers View post →
DeAndre Caldwell DPT, ATC, OCS, Cert. MDT, TPS
@DrCaldwellpt · X

If you know anybody considering spinal fusion, this should be one of the resources they consider as they weigh the options. https://t.co/tW90EfD4uU

Apr 17, 2019 · 181 followers View post →
Drjakesoma
@drjakesoma · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 16, 2019 · 23 shares · 29 followers View post →
Bruce Williams
@Docorange1 · X

I guess it worked for Tiger. Lumbar spine fusion: what is the evidence? https://t.co/OqbeR8dxkp https://t.co/h0e4Rulntj

Apr 15, 2019 · 2 likes · 4,415 followers View post →
Emma H
@EmmaHoskins7 · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 13, 2019 · 23 shares · 116 followers View post →
Hussain Nasser
@mulliganbahrain · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 13, 2019 · 23 shares · 615 followers View post →
Sheila McGowan
@sheilamunromama · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 13, 2019 · 23 shares · 83 followers View post →
Jody Ryan (she/her)
@jodygryan · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 12, 2019 · 23 shares · 779 followers View post →
ANA VITEA FISIO
@ANAVITEAFISIO · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 12, 2019 · 23 shares · 1,338 followers View post →
KisecontrolTherapy
@kcontroltherapy · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 12, 2019 · 23 shares · 217 followers View post →
Peter Cain, PT, DPT
@PeterCa86285029 · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 12, 2019 · 23 shares · 106 followers View post →
Carlos Gevers
@carlosgeversdc · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 12, 2019 · 23 shares · 793 followers View post →
Craig Liebenson
@CraigLiebenson · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 12, 2019 · 23 shares · 8,198 followers View post →
Army Physio
@KarmenBourke · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 12, 2019 · 23 shares · 488 followers View post →
Sue Kanter
@EngagePTmn · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 12, 2019 · 23 shares · 67 followers View post →
Pain-ed
@pain_eddotcom · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 12, 2019 · 23 shares · 7,947 followers View post →
ɹǝʇlnoԀ pıʌɐᗡ
@Retlouping · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 12, 2019 · 23 shares · 26,386 followers View post →
Michael Leal
@MLealPT · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 12, 2019 · 23 shares · 217 followers View post →
Apa
@AlpalBe · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 12, 2019 · 23 shares · 851 followers View post →
Alex Bengtsson
@ABengtssonPT · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 11, 2019 · 23 shares · 118 followers View post →
Curtis Newton
@PTcurt · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 11, 2019 · 23 shares · 203 followers View post →
dr.Ali@r
@alido83 · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 11, 2019 · 23 shares · 10,309 followers View post →
Harrison Dale
@physiodale · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 11, 2019 · 23 shares · 124 followers View post →
Austin Baraki, MD
@AustinBaraki · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 11, 2019 · 23 shares · 4,885 followers View post →
なかじ
@C0RU0q8SYYMUtpQ · X

RT @PeteOSullivanPT: Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://…

Apr 11, 2019 · 23 shares · 689 followers View post →
Peter O'Sullivan
@PeteOSullivanPT · X

Lumbar spine fusion: what is the evidence? - Harris - 2018 - Internal Medicine Journal - Wiley Online Library https://t.co/dfVgVqtV9I

Apr 11, 2019 · 67 likes · 23 shares · 57,421 followers View post →
Institute for Musculoskeletal Health
@msk_health · X

RT @The_IMJ: IMJ 48:12 CP on ' Lumbar spine fusion' continues creating a stir - clocks an Altimetric score of 274 (in the elite top 5% of a…

Apr 10, 2019 · 7 shares · 5,357 followers View post →
Giovanni Ferreira
@giovanni_ef · X

RT @The_IMJ: IMJ 48:12 CP on ' Lumbar spine fusion' continues creating a stir - clocks an Altimetric score of 274 (in the elite top 5% of a…

Apr 10, 2019 · 7 shares · 2,414 followers View post →
Adrian Traeger
@adrian_traeger · X

RT @The_IMJ: IMJ 48:12 CP on ' Lumbar spine fusion' continues creating a stir - clocks an Altimetric score of 274 (in the elite top 5% of a…

Apr 10, 2019 · 7 shares · 1,826 followers View post →
Chris Maher
@CGMMaher · X

RT @The_IMJ: IMJ 48:12 CP on ' Lumbar spine fusion' continues creating a stir - clocks an Altimetric score of 274 (in the elite top 5% of a…

Apr 10, 2019 · 7 shares · 11,268 followers View post →
Jeff Szer
@marrow · X

RT @The_IMJ: IMJ 48:12 CP on ' Lumbar spine fusion' continues creating a stir - clocks an Altimetric score of 274 (in the elite top 5% of a…

Apr 10, 2019 · 7 shares · 2,379 followers View post →
The Royal Australasian College of Physicians
@TheRACP · X

RT @The_IMJ: IMJ 48:12 CP on ' Lumbar spine fusion' continues creating a stir - clocks an Altimetric score of 274 (in the elite top 5% of a…

Apr 9, 2019 · 7 shares · 9,336 followers View post →
The IMJ
@The_IMJ · X

IMJ 48:12 CP on ' Lumbar spine fusion' continues creating a stir - clocks an Altimetric score of 274 (in the elite top 5% of all research outputs scored by Altmetric) ! https://t.co/ADA6Z8gcub @marrow @TheRACP @CGMMaher @RachelleBuchbin @adrian_traeger https://t.co/EV1tIt3OUn https://t.co/sPhmULEEJQ

Apr 9, 2019 · 11 likes · 7 shares · 477 followers View post →
Peter O'Sullivan
@PeteOSullivanPT · X

RT @johnhurleyruan: @montyspines @PeteOSullivanPT @BJSM_BMJ @CGMMaher @MaryOKeeffe007 @kieranosull @DrChrisBarton @ewa_roos @jpcaneiro @Pro…

Mar 4, 2019 · 1 share · 57,421 followers View post →
John Hurley
@johnhurleyruan · X

@montyspines @PeteOSullivanPT @BJSM_BMJ @CGMMaher @MaryOKeeffe007 @kieranosull @DrChrisBarton @ewa_roos @jpcaneiro @ProfDavidHunter @GregHuntMP @pain_eddotcom https://t.co/f3brVBi4QS Here's a piece by an ortho surgeon on fusion. Only appears to have benefit for those with spinal tumours. He says not to jump to conclusions yet but there's no evidence to suggest fusions better than non surgical treatment and up to surgeons to prove it is

Mar 4, 2019 · 7 likes · 1 share · 937 followers View post →
Luis
@RoCo1796 · X

RT @PhysioMeScience: Lumbar spine fusion: what is the evidence?

Feb 18, 2019 · 72 shares · 316 followers View post →
SystematicReviewBot
@EvidenceRobot · X

RT @dr_joeyglenn: Lumbar fusion... systematic review looking at risk vs. reward for specific LBP conditions. The pendulum seems to be swing…

Jan 15, 2019 · 1 share · 6,697 followers View post →
Joey Glenn
@dr_joeyglenn · X

Lumbar fusion... systematic review looking at risk vs. reward for specific LBP conditions. The pendulum seems to be swinging in favor of comprehensive rehabilitation to include cognitive behavior therapy and exercise. @bradyburrows5 https://t.co/8VFuT0nzev

Jan 15, 2019 · 1 share · 103 followers View post →
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... 10.1111/imj. 14120 (15) https://ard.bmj.com/content/77/2/188 (16) https://bjsm.bmj.com/content/51/24/1759 (17) https://www.thelancet. com ...

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Comprendre Son Dos - L'arthrodèse lombaire est une opération ...
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... 10.1111/imj.14120… https://www.has-sante.fr/…/arg_pertinence_chir-lombalgie.pdf Plus d'informations sur http://comprendresondos.fr ...

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Telemedicine Programs Flourish in the DAA Era
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2014;doi:10.1111/imj.12537. You A, et al. J Telemed Telecare. 2014;doi:10.1177/1357633X13519043. For more information: Sanjeev Arora, MD ...

Mar 15, 2017 View →