Does lumbar surgery for chronic low-back pain make a difference?
Mohit Bhandari*, Brad Petrisor*, Jason W. Busse and Brian Drew *Division of Orthopaedic Surgery, Department of Surgery; McMaster University; Spine Unit, Hamilton Health Sciences General Hospital, Hamilton, Ont. Fairbank J, Frost H, Wilson-MacDonald J, Ly-Mee Y, Barker K, Collins R; for the 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 [published erratum appears in BMJ 2005;330(7506):1485]. BMJ 2005:330(7502):1233. Epub 2005 May 23. Background: The commonplace problem of chronic low-back pain often results in disability severe enough to cause long-term absences from work and inability to carry out the normal activities of daily living. Individuals with chronic low-back pain often show evidence of disc narrowing and osteoarthritis of the lumbar spine. Spinal fusion, a surgical operation that may involve