Evidence-Based Orthopaedics   |    
Surgical Stabilization of the Spine Improved Disability Slightly More Than an Intensive Rehabilitation Program in Patients with Chronic Low Back Pain

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Fairbank J, Frost H, Wilson-MacDonald J, Yu LM, Barker K, Collins R; Spine Stabilisation Trial Group. Randomised Controlled Trial to Compare Surgical Stabilisation of the Lumbar Spine with an Intensive Rehabilitation Programme for Patients with Chronic Low Back Pain: the MRC Spine Stabilisation Trial.
. 2005 May 28;330:1233.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2006 Feb 01;88(2):453-453. doi: 10.2106/JBJS.8802.ebo2
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Question: In patients with chronic low back pain, how do surgical stabilization of the spine and an intensive rehabilitation program compare for symptom relief?Design: Randomized (allocation concealed), unblinded, controlled trial with 24-month follow-up.Setting: 15 hospitals in the United Kingdom.Patients: 349 patients between 18 and 55 years of age (51% women) with a 12-month history of chronic low back pain who were candidates for surgical stabilization of the spine and (with their clinician) were uncertain which of the study treatments were best. Exclusion criteria were infection, other comorbid conditions, psychiatric disease, previous surgical stabilization of the spine, or pregnancy. 284 patients (81%) completed the back-pain-specific questionnaire; 246 patients (70%) completed the walk test.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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