Consensus at last! Long-term results of all randomized controlled trials show that fusion is no better than non-operative care in improving pain and disability in chronic low back pain
Three articles on PainSci cite Mannion 2016: 1. The Complete Guide to Low Back Pain 2. Complete Guide to Plantar Fasciitis
PainSci commentary on Mannion 2016: ?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided wherever possible.
Excellent and important commentary on Hedlund et al. For full details, see Long term results of spinal fusion: good news and bad?.
mportant long-term experiment compared spinal fusion to physiotherapy over more than a decade seemed to produce a contradictory result that “prevents a strong conclusion.” But the waffling wasn’t necessary. The good-news-bad-news conclusion was a bit of an illusion. The authors cherry-picked the best possible sounding news from their own data, creating the appearance of uncertainty about spinal fusion where in fact there was none.
related content
- “Comparison of spinal fusion and nonoperative treatment in patients with chronic low back pain: long-term follow-up of three randomized controlled trials,” Mannion et al, Spine J, 2013.
- “The long-term outcome of lumbar fusion in the Swedish lumbar spine study,” Hedlund et al, The Spine Journal, 2016.
Specifically regarding Mannion 2016:
- Long term results of spinal fusion: good news and bad? — The results of the long-term Swedish lumbar spine study seemed mixed at first, but are probably just negative
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
- Inciting events associated with lumbar disc herniation. Suri 2010 Spine J.
- Prediction of an extruded fragment in lumbar disc patients from clinical presentations. Pople 1994 Spine (Phila Pa 1976).
- Characteristics of patients with low back and leg pain seeking treatment in primary care: baseline results from the ATLAS cohort study. Konstantinou 2015 BMC Musculoskelet Disord.
- Effectiveness and cost-effectiveness of universal school-based mindfulness training compared with normal school provision in reducing risk of mental health problems and promoting well-being in adolescence: the MYRIAD cluster randomised controlled trial. Kuyken 2022 Evid Based Ment Health.
- Is there a relationship between throbbing pain and arterial pulsations? Mirza 2012 J Neurosci.