No difference in 9-year outcome in CLBP patients randomized to lumbar fusion versus cognitive intervention and exercises
- Anne FroholdtAffiliated withDepartment of Orthopaedic Surgery, Oslo University Hospital Email author
- , Olav ReikeraasAffiliated withDepartment of Orthopaedic Surgery, Oslo University Hospital
- , Inger HolmAffiliated withDepartment of Physiotherapy, Oslo University Hospital
- , Anne KellerAffiliated withDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital
- , Jens Ivar BroxAffiliated withDepartment of Orthopaedic Surgery, Oslo University Hospital
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To compare the 9-year outcome in patients with chronic low back pain treated by instrumented lumbar fusion versus cognitive intervention and exercises.
The main outcome measure was the Oswestry Disability Index (ODI). Secondary outcome measures included pain, fear-avoidance beliefs, trunk muscle strength, medication, and return to work.
One-third of the patients randomized to cognitive intervention and exercises had crossed over and been operated and one-third of the patients allocated to lumbar fusion had been re-operated. The intention-to-treat analysis detected no differences between the two groups. The mean adjusted treatment effect for ODI was 1.9 (95 % CI −7.8 to 11.6). Analysed according to the treatment received, more operated patients used pain medication and were out of work.
The outcome at 9 years was not different between instrumented lumbar fusion and cognitive intervention and exercises.
KeywordsRandomized clinical trial Low back pain Long-term outcome Operative Physical therapy
- No difference in 9-year outcome in CLBP patients randomized to lumbar fusion versus cognitive intervention and exercises
European Spine Journal
Volume 21, Issue 12 , pp 2531-2538
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- Randomized clinical trial
- Low back pain
- Long-term outcome
- Physical therapy
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- Author Affiliations
- 1. Department of Orthopaedic Surgery, Oslo University Hospital, Rikshospitalet 0027, Oslo, Norway
- 2. Department of Physiotherapy, Oslo University Hospital, Rikshospitalet, Oslo, Norway
- 3. Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Ullevål, Oslo, Norway