Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Abbotts J, Macpherson K. What is the evidence base for the use of orthopaedic spinal surgery for mechanical low back pain or degenerative spondylolisthesis? Glasgow: Healthcare Improvement Scotland. Evidence Note 36. 2011 Authors' conclusions In mechanical low back pain which has persisted despite optimal conservative management, there is evidence that spinal fusion can be of benefit.
In chronic low back pain, spinal fusion is unlikely to be cost effective versus intensive rehabilitation over a 2-year time horizon; however there is some indication that it could become cost effective over a longer term time horizon
In degenerative spondylolisthesis, there is evidence that spinal fusion as an adjunct to decompression leads to better clinical outcomes than decompression alone.
Evidence for clinical effectiveness of disc replacement and interspinous distraction devices was minimal. It was neither specific to degenerative spondylolisthesis, nor necessarily generalisable to mechanical low back pain.
No cost-effectiveness evidence was identified on spinal fusion, disc replacement or interspinous distraction devices in the treatment of degenerative spondylolisthesis.
Indexing Status Subject indexing assigned by CRD MeSH Low Back Pains; Spinal Fusion; Spondylolisthesis Language Published English Country of organisation Scotland English summary An English language summary is available. Address for correspondence Healthcare Improvement Scotland, Delta House, 50 West Nile Street, Glasgow, G1 2NP Tel: 0141 225 6998 Email: doreen.pedlar@nhs.net AccessionNumber 32013000459 Date abstract record published 24/06/2013 |