Can active conservative intervention limit lumbar-spinal surgery?

The objective of this study was to ascertain the effectiveness of an inter-disciplinary, cognitive and exercise-based active treatment programme to reduce the incidence of lumbar-spinal surgery. Patients were treated using internationally validated treatment protocols. A total of 234 patients, already advised to undergo lumbar-spinal surgery, were treated conservatively from 2005 until 2007. After an initial 6 weeks of active treatment, patients were put on a maintenance programme. Nineteen patients required lumbar-spinal surgery. The authors concluded that an active, inter-disciplinary and cognitive exercise-based treatment programme limited lumbar-spinal surgery to 8% in a case-controlled cohort of patients who had already been advised to undergo surgery.

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Bibliographic Details
Main Authors: Engelbrecht,PR, Coetzee,E, Mennen,J, Meyer,HP, Snyman,J, Kapp,D, du Buisson,J, Gilau,JJ
Format: Digital revista
Language:English
Published: Medpharm Publications 2008
Online Access:http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S1681-150X2008000200006
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