Is Type of Compensation a Predictor of Outcome After Lumbar Fusion?

Gum, Jeffrey L.; Glassman, Steven D.; Carreon, Leah Y.

doi:10.1097/brs.0b013e318278ebe8

Cited by 60 publications

(46 citation statements)

References 32 publications

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“…1,10,12,13,17,20,21,[23][24][25][26]30,32,35,36,39,42,43 Patients may show improvement from preoperative or injury state but tend not to do as well as non-workers' compensation patients.…”

Section: Discussionmentioning

confidence: 92%

Workers' compensation claims and outcomes after reverse shoulder arthroplasty

Morris

Haigler

Laughlin

et al. 2015

Journal of Shoulder and Elbow Surgery

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“…1,10,12,13,17,20,21,[23][24][25][26]30,32,35,36,39,42,43 Patients may show improvement from preoperative or injury state but tend not to do as well as non-workers' compensation patients.…”

Section: Discussionmentioning

confidence: 92%

Workers' compensation claims and outcomes after reverse shoulder arthroplasty

Morris

Haigler

Laughlin

et al. 2015

Journal of Shoulder and Elbow Surgery

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“…Finally, it has been previously suggested that the compensation status may significantly affect the long-term surgical outcomes after lumbar fusion [10,29]. As such variable was not analyzed in the present study, there is a possibility that the compensation status of the groups under analysis in the present were not perfectly matched at the baseline, although in every step (both when considering the studied variables isolatedly and in combination) the groups presented no difference regarding age, preoperative ODI total and preoperative VAS/back pain.…”

Section: Discussionmentioning

confidence: 99%

The ‘Lumbar Fusion Outcome Score’ (LUFOS): a new practical and surgically oriented grading system for preoperative prediction of surgical outcomes after lumbar spinal fusion in patients with degenerative disc disease and refractory chronic axial low back pain

Mattei¹,

Rehman

Teles

et al. 2016

Neurosurg Rev

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In order to evaluate the predictive effect of non-invasive preoperative imaging methods on surgical outcomes of lumbar fusion for patients with degenerative disc disease (DDD) and refractory chronic axial low back pain (LBP), the authors conducted a retrospective review of 45 patients with DDD and refractory LBP submitted to anterior lumbar interbody fusion (ALIF) at a single center from 2007 to 2010. Surgical outcomes - as measured by Visual Analog Scale (VAS/back pain) and Oswestry Disability Index (ODI) - were evaluated pre-operatively and at 6 weeks, 3 months, 6 months, and 1 year post-operatively. Linear mixed-effects models were generated in order to identify possible preoperative imaging characteristics (including bone scan/99mTc scintigraphy increased endplate uptake, Modic endplate changes, and disc degeneration graded according to Pfirrmann classification) which may be predictive of long-term surgical outcomes . After controlling for confounders, a combined score, the Lumbar Fusion Outcome Score (LUFOS), was developed. The LUFOS grading system was able to stratify patients in two general groups (Non-surgical: LUFOS 0 and 1; Surgical: LUFOS 2 and 3) that presented significantly different surgical outcomes in terms of estimated marginal means of VAS/back pain (p = 0.001) and ODI (p = 0.006) beginning at 3 months and continuing up to 1 year of follow-up. In conclusion, LUFOS has been devised as a new practical and surgically oriented grading system based on simple key parameters from non-invasive preoperative imaging exams (magnetic resonance imaging/MRI and bone scan/99mTc scintigraphy) which has been shown to be highly predictive of surgical outcomes of patients undergoing lumbar fusion for treatment for refractory chronic axial LBP.

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“…These factors create the confounding variable of secondary gain that may hinder the patient’s motivation to improve. Multiple studies have demonstrated that patients receiving workers’ compensation respond poorly to spine surgeries compared with nonworkers’ compensation in nearly all outcome variables including postoperative pain levels, postoperative opioid use, functional ability after surgery including ability to work, and overall emotional well-being 13–15…”

Section: Etiologymentioning

confidence: 99%

Failed back surgery syndrome: current perspectives

Baber¹,

Erdek²

2016

JPR

171

146

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The treatment of failed back surgery syndrome (FBSS) can be equally challenging to surgeons, pain specialists, and primary care providers alike. The onset of FBSS occurs when surgery fails to treat the patient’s lumbar spinal pain. Minimizing the likelihood of FBSS is dependent on determining a clear etiology of the patient’s pain, recognizing those who are at high risk, and exhausting conservative measures before deciding to go into a revision surgery. The workup of FBSS includes a thorough history and physical examination, diagnostic imaging, and procedures. After determining the cause of FBSS, a multidisciplinary approach is preferred. This includes pharmacologic management of pain, physical therapy, and behavioral modification and may include therapeutic procedures such as injections, radiofrequency ablation, lysis of adhesions, spinal cord stimulation, and even reoperations.

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Is Type of Compensation a Predictor of Outcome After Lumbar Fusion?

Cited by 60 publications

References 32 publications

Workers' compensation claims and outcomes after reverse shoulder arthroplasty

Workers' compensation claims and outcomes after reverse shoulder arthroplasty

The ‘Lumbar Fusion Outcome Score’ (LUFOS): a new practical and surgically oriented grading system for preoperative prediction of surgical outcomes after lumbar spinal fusion in patients with degenerative disc disease and refractory chronic axial low back pain

Failed back surgery syndrome: current perspectives

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