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Indications and Outcomes of Reconstructive Surgery in Chronic Pain of Spinal Origin

Slosar, Paul J., MD

Supplement: Interventional Management of Chronic Benign Spinal Pain Syndromes

Study Design. Peer-reviewed literature was reviewed and summarized.

Objective. To synthesize the indications and published outcomes of reconstructive lumbar spine surgery for the treatment of chronic pain of spinal origin.

Methods. A literature review was conducted.

Results. The most common indication for reconstructive lumbar surgery is pain that is refractory to nonsurgical treatment. Lumbar fusion has been shown to improve symptoms in carefully selected patients with incapacitating pain.

Conclusions. A successful arthrodesis is the fundamental surgical goal for patients with chronic pain of spinal origin. However, a successful fusion does not always correlate with a successful clinical result.

From the SpineCare Medical Group, San Francisco Spine Institute, Daly City, California.

Device Status/Drug Statement: The devices and drugs are approved by the FDA or a corresponding national agency for this indication.

Conflict of Interest: No funds were received in support of this work. No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript.

Address reprint requests to Paul J. Slosar, MD, SpineCare Medical Group, San Francisco Spine Institute, 1850 Sullivan Avenue, Daly City, CA 94015. E-mail:

© 2002 Lippincott Williams & Wilkins, Inc.