Abstract
Thirty-three patients with low back pain underwent spinal fusion following a positively predicting external fixation test. Thirty-two spinal fusions and one sacroiliac joint fusion were performed. The complications following the use of the external fixator were significant. The results following spinal fusion were not related to the positive response to the external fixator. Multiple variables affect the results of spinal fusion. We feel that the external fixator test in low back pain management is very invasive, and its use cannot be justified.
Key words: Low back pain, External fixation
Full Text
The Full Text of this article is available as a PDF (364.3 KB).
References
- 1.Esses SI, Bostford DJ, Kostuik JP. The role of external spinal fixation in the assessment of low-back disorders. Spine. 1989;14:584–602. doi: 10.1097/00007632-198906000-00009. [DOI] [PubMed] [Google Scholar]
- 2.Fairbank JCT, Couper J, Davies JB, O'Brien JP. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980;66:271–273. [PubMed] [Google Scholar]
- 3.Fischgrund JS, Montgomery DM. Diagnosis and treatment of discogenic low back pain (review) Orthop Rev. 1993;22:311–318. [PubMed] [Google Scholar]
- 4.Jeannert B, Jovanovac M, Magerl F. Percutaneous diagnostic stabilization for low back pain. Clin Orthop. 1994;304:130–138. [PubMed] [Google Scholar]
- 5.Lyon DW, Hall DJ, Mulholland RC, Webb JK. The role of external fixation as a predictor of fusion success. In: Yonenobu K, Ono K, Takemitsu Y, editors. Lumbar fusion and stabilization. Berlin Heidelberg New York: Springer; 1993. [Google Scholar]
- 6.Nachemson A. Low back pain (Guest editorial) Acta Orthop Scand. 1993;64:1–2. doi: 10.3109/17453679308994515. [DOI] [PubMed] [Google Scholar]
- 7.Olerud S, Sjöström L, Karlström G, Hamberg M. Spontaneous effect of increased stability of the lower lumbar spine in cases of severe chronic low back pain. The answer of an external transpeduncular fixation test. Clin Orthop. 1986;203:67–74. [PubMed] [Google Scholar]
- 8.Soini JR, Seitsalo SK. The external fixation test of the lumbar spine. 30 complications in 25 patients of 100 consecutive patients. Acta Orthop Scand. 1993;64:147–149. doi: 10.3109/17453679308994556. [DOI] [PubMed] [Google Scholar]
