The changing face of quality in spine surgery

Grob, Dieter; Mannion, Anne F.

doi:10.1007/s00586-009-1090-x

Cited by 3 publications

(6 citation statements)

References 11 publications

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“…Spinal fusion surgery alone generated costs of more than $16 billion in hospital charges in 2004 [19]. These trends have prompted concern among leading clinicians in the field of spine surgery [20–26]. One operation has garnered more attention than others and that is lumbar spinal fusion.…”

Section: Failed Back Surgery Syndrome—etiology Evaluation Preventiomentioning

confidence: 99%

“…While there is consensus that patients with major motor deficits and major spine trauma require surgery [19], the criteria for operating in cases of persistent pain are less clear. The need for guidelines for spinal surgery, in particular, fusion surgery, is apparent [21,22,24–26] and in recent years, high‐quality reviews and trials have been published to try and form the basis for such guidelines to better direct when spinal surgery should be undertaken [35,37,38,40,41,47,99].…”

Section: Prevention Of Fbssmentioning

confidence: 99%

“…Suggestions on how to establish guidelines for spinal surgery have been published [25,26]. Randomized controlled trials remain the best method by which to assess the efficacy of a certain procedure.…”

Section: Prevention Of Fbssmentioning

confidence: 99%

“…However, these studies can be difficult to undertake in the practical sense and are associated with ethical concerns [104]. Alternatively, implementation of patient registries has been proposed as a method by which to gain valuable data on surgical rates and outcomes and consequently identify which spine surgical operations provide benefit and in which type of patients [25,26]. An example of the latter is the substantial improvement in outcomes post‐spine fusion for spondylolisthesis but reduced improvement for patients with degenerative disc and axial back pain [105].…”

Section: Prevention Of Fbssmentioning

confidence: 99%

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Failed Back Surgery Syndrome

2011

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FBSS is a challenging clinical entity with significant impact on the individual and society. To better prevent and manage this condition, knowledge of the factors contributing to its development is necessary. While research on FBSS has increased in recent years, perhaps the best strategy to reduce incidence and morbidity is to focus on prevention. Patients diagnosed with FBSS should be managed in an interdisciplinary environment. More radical treatments for FBSS have now been extensively studied providing clinicians with much needed evidence on their efficacy. Incorporating these results into our current knowledge provides a basis on which to construct an evidence-based guide on how best to manage patients who suffer from FBSS.

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Section: Failed Back Surgery Syndrome—etiology Evaluation Preventiomentioning

confidence: 99%

Section: Prevention Of Fbssmentioning

confidence: 99%

Section: Prevention Of Fbssmentioning

confidence: 99%

Section: Prevention Of Fbssmentioning

confidence: 99%

See 2 more Smart Citations

Failed Back Surgery Syndrome

2011

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“…It would seem appropriate if one is using these self-reported measures, a depression score should also be recorded. The paper by Mannion [14] again proves something that we all suspect. The benefits of rehabilitation depended to a large extent on the patient's exercise behaviour outside of the formal physiotherapy sessions.…”

Section: Back Painmentioning

confidence: 83%