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To corset or not to corset after lumbar spine fixation surgery?: A prospective randomized clinical trial and literature review – Lumbar Fusion

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A study published in Medicine (Baltimore) investigated the use of postoperative orthosis after lumbar fusion surgery and its impact on pain improvement, quality of life, and fusion rate. The study, conducted from May 2021 to May 2022, enrolled 101 patients and compared a group that used a corset postoperatively with a group that did not use any orthosis. The results showed a significant decrease in pain in the non-corset group and a decrease in admission duration compared to the corset group. Both groups showed no significant difference in satisfaction, complication rates, and X-ray results. The study concluded that for degenerative spondylolisthesis, non-orthosis is a safe strategy that can reduce admission duration and potentially lead to better functional outcomes

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative spine hospital in UK

Published article

: After the transpedicular screw fixation with posterolateral fusion surgery for degenerative spondylolisthesis, non-orthosis is a safe strategy. It can reduce the admission duration and has the trend for better functional outcomes.

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Medicine (Baltimore). 2024 Apr 12;103(15):e37650. doi: 10.1097/MD.0000000000037650. ABSTRACT PURPOSE: Orthosis after lumbar fusion surgery is common. However, the evidence for benefit remains to be determined, especially in tropical areas with heavy workers. To investigate postoperative orthosis and whether it affects pain improvement, quality of life, and fusion rate. METHOD: From May 2021 to May 2022,

Medicine (Baltimore). 2024 Apr 12;103(15):e37650. doi: 10.1097/MD.0000000000037650.

ABSTRACT

PURPOSE: Orthosis after lumbar fusion surgery is common. However, the evidence for benefit remains to be determined, especially in tropical areas with heavy workers. To investigate postoperative orthosis and whether it affects pain improvement, quality of life, and fusion rate.

METHOD: From May 2021 to May 2022, this single-center prospective randomized clinical trial enrolled 110 patients. We excluded 9 patients, and 101 people were analyzed finally. Corset group, in which participants used a corset for 3 months postoperatively; Non-corset group, in which participants didn’t wear any orthosis. ODI and VAS scale were recorded before the surgery: 2 weeks, 1 month, 3 months, half a year, and 1 year postoperatively. The lumbar X-ray was done before the surgery, 6 months postoperatively. All complications in 1 year were recorded.

RESULTS: Significant decrease in VAS score in the non-corset group since post-operation day 5 (corset group 3.44 ± 1.77, non-corset group 3.36 ± 1.75, P = .0093) during admission, and also a decrease in admission duration (corset group 11.08 ± 2.39, non-corset group 9.55 ± 1.75, P = .0004) were found. There was a significantly better ODI score in the non-corset group since post-operation 1 month, while in the corset group until post-operation 3 months. Both groups had no significant difference in satisfaction, complication rates, and X-ray results, such as fusion, angular rotation, sagittal transition, and slip in the neutral position.

: After the transpedicular screw fixation with posterolateral fusion surgery for degenerative spondylolisthesis, non-orthosis is a safe strategy. It can reduce the admission duration and has the trend for better functional outcomes.

PMID:38608098 | DOI:10.1097/MD.0000000000037650

The London Spine Unit : innovative spine hospital in UK

Read the original publication:

To corset or not to corset after lumbar spine fixation surgery?: A prospective randomized clinical trial and literature review

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Medicine (Baltimore). 2024 Apr 12;103(15):e37650. doi: 10.1097/MD.0000000000037650. ABSTRACT PURPOSE: Orthosis after lumbar fusion surgery is common. However, the evidence for benefit remains to be determined, especially in tropical areas with heavy workers. To investigate postoperative orthosis and whether it affects pain improvement, quality of life, and fusion rate. METHOD: From May 2021 to May 2022

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