View Entire Collection
By Clinical Topic
By State Requirement
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
WEDNESDAY, Dec. 12 (HealthDay News) -- Compared with rehabilitation, disc prosthesis surgery for chronic low back pain is associated with the same level of adjacent level degeneration (ALD) but with increased facet arthropathy (FA) at the implant level, according to a study published in the Dec. 1 issue of Spine.
Christian Hellum, M.D., of the University of Oslo in Norway, and colleagues conducted a randomized clinical trial that followed 116 patients with a history of low back pain over a two-year period to assess the development of ALD and index level FA in patients who either underwent disc prosthesis surgery or were treated with rehabilitation alone.
The researchers found that the incidence of ALD development was the same, regardless of whether patients received a disc prosthesis or rehabilitation. Index level FA appeared or increased in 34 percent of patients who were treated with surgery, compared with only 4 percent who received rehabilitation. Clinical outcome was not related to development of ALD or FA.
"ALD incidence at a two-year follow-up was similar in patients treated with the disc prostheses and patients treated without surgery, but the former group had increased index level FA," the authors write. "The potential advantage of low risk of accelerated ALD with a disc prosthesis must be weighed against the increased risk of index level FA, particularly in L5-S1."
Full Text (subscription or payment may be required)
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top