Early Impact of Postoperative Bracing on Pain and Quality of Life After Posterior Instrumented Fusion for Lumbar Degenerative Conditions

Soliman, Hany Abdel Gawwad; Barchi, Soraya; Parent, Stefan; Maurais, Gilles; Jodoin, Alain; Mac-Thiong, Jean-Marc

doi:10.1097/brs.0000000000002292

Cited by 23 publications

(43 citation statements)

References 21 publications

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“…The reason why there were no significant postoperative differences between the postoperatively applied LSO may be related to why LSO was applied postoperatively in the first place. Previous studies have compared non-surgical and postoperative patients with LSO or without LSO and showed variable and controversial results [1,3,5,27,28]. Soliman et al [1] analyzed 43 patients who underwent PSIF for lumbar degenerative conditions and reported that postoperative bracing did not show better improvement in the quality of life and pain relief.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have compared non-surgical and postoperative patients with LSO or without LSO and showed variable and controversial results [1,3,5,27,28]. Soliman et al [1] analyzed 43 patients who underwent PSIF for lumbar degenerative conditions and reported that postoperative bracing did not show better improvement in the quality of life and pain relief. A meta-analysis has also shown that bracing after lumbar surgery for degenerative disease did not correlate with an improvement in outcome [29].…”

Section: Discussionmentioning

confidence: 99%

“…The traditional decompression and fusion procedure of the lumbar spine has been steadily increasing recently, and postoperative bracing (lumbosacral orthosis [LSO]) is commonly used after surgical treatment of lumbar degenerative conditions [1][2][3]. A previous study showed that 56%-59% of surgeons routinely consider postoperative bracing after at least one type of lumbar procedure [4,5].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the Effectiveness of Three Lumbosacral Orthoses on Early Spine Surgery Patients: A Prospective Cohort Study

et al. 2021

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Objective To compare the convenience and effectiveness of the existing lumbosacral orthoses (LSO) (classic LSO and Cybertech) and a newly developed LSO (V-LSO) by analyzing postoperative data. Methods This prospective cohort study was performed from May 2019 to November 2019 and enrolled and analyzed 88 patients with degenerative lumbar spine disease scheduled for elective lumbar surgery. Three types of LSO that were provided according to the time of patient registration were applied for 6 weeks. Patients were randomized into the classic LSO group (n=31), Cybertech group (n=26), and V-LSO group (n=31). All patients were assessed using the Oswestry Disability Index (ODI) preoperatively and underwent plain lumbar radiography (anteroposterior and lateral views) 10 days postoperatively. Lumbar lordosis (LS angle) and frontal imbalance were measured with and without LSO. At the sixth postoperative week, a follow-up assessment with the ODI and orthosis questionnaire was conducted. Results No significant differences were found among the three groups in terms of the LS angle, frontal imbalance, ODI, and orthosis questionnaire results. When the change in the LS angle and frontal imbalance toward the reference value was defined as a positive change with and without LSO, the rate of positive change was significantly different in the V-LSO group (LS angle: 41.94% vs. 61.54% vs. 83.87%; p=0.003). Conclusion The newly developed LSO showed no difference regarding its effectiveness and compliance when compared with the existing LSO, but it was more effective in correcting lumbar lordosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of the Effectiveness of Three Lumbosacral Orthoses on Early Spine Surgery Patients: A Prospective Cohort Study

et al. 2021

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“… 71 Controversy exists regarding the routine use of orthoses in the post-operative period of spine surgery—despite their widespread use, there is a lack of evidence of its cost-effectiveness in most spinal pathologies. 70 - 74 …”

Section: Introductionmentioning

confidence: 99%

“… 76 Studies examining this practice have been plagued with errors in research methodology including small sample sizes and various sources of bias, and no strong evidence yet exists to demonstrate clear benefit. 74 …”

Section: Introductionmentioning

confidence: 99%

Achieving Value in Spine Surgery: 10 Major Cost Contributors

Philipp

Leibold

Mahtabfar

et al. 2021

Global Spine Journal

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Study Design: Narrative Review. Objectives: The increasing cost of healthcare overall and for spine surgery, coupled with the growing burden of spine-related disease and rising demand have necessitated a shift in practice standards with a new emphasis on value-based care. Despite multiple attempts to reconcile the discrepancy between national recommendations for appropriate use and the patterns of use employed in clinical practice, resources continue to be overused—often in the absence of any demonstrable clinical benefit. The following discussion illustrates 10 areas for further research and quality improvement. Methods: We present a narrative review of the literature regarding 10 features in spine surgery which are characterized by substantial disproportionate costs and minimal—if any—clear benefit. Discussion items were generated from a service-wide poll; topics mentioned with great frequency or emphasis were considered. Items are not listed in hierarchical order, nor is the list comprehensive. Results: We describe the cost and clinical data for the following 10 items: Over-referral, Over-imaging & Overdiagnosis; Advanced Imaging for Low Back Pain; Advanced imaging for C-Spine Clearance; Advanced Imaging for Other Spinal Trauma; Neuromonitoring for Cervical Spine; Neuromonitoring for Lumbar Spine/Single-Level Surgery; Bracing & Spinal Orthotics; Biologics; Robotic Assistance; Unnecessary perioperative testing. Conclusions: In the pursuit of value in spine surgery we must define what quality is, and what costs we are willing to pay for each theoretical unit of quality. We illustrate 10 areas for future research and quality improvement initiatives, which are at present overpriced and underbeneficial.

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Effectiveness of lumbar braces after lumbar surgery: a systematic review and meta-analysis

Wei,

Chen,

et al. 2024

Arch Orthop Trauma Surg

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Early Impact of Postoperative Bracing on Pain and Quality of Life After Posterior Instrumented Fusion for Lumbar Degenerative Conditions

Abstract: 1.

Cited by 23 publications

References 21 publications

Comparison of the Effectiveness of Three Lumbosacral Orthoses on Early Spine Surgery Patients: A Prospective Cohort Study

Comparison of the Effectiveness of Three Lumbosacral Orthoses on Early Spine Surgery Patients: A Prospective Cohort Study

Achieving Value in Spine Surgery: 10 Major Cost Contributors

Effectiveness of lumbar braces after lumbar surgery: a systematic review and meta-analysis

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