Bracing Following Transforaminal Lumbar Interbody Fusion is not Necessary for Patients With Degenerative Lumbar Spine Disease: A Prospective, Randomized Trial

Clinical Spine Surgery : a Spine Publication
Yu-Cheng YaoMing-Chau Chang

Abstract

This is a prospective, randomized trial. This study aimed to evaluate the outcome of bracing following transforaminal lumbar interbody fusion (TLIF) in patients with degenerative lumbar spine diseases. Bracing following spinal fusion for lumbar degenerative disease is common. However, the necessity of postoperative bracing is still controversial. A paucity of high-quality studies have assessed the efficacy of bracing. In total, 90 patients with degenerative lumbar disease receiving instrumented TLIF were randomly assigned to brace and no brace groups for postoperative care. Patients in the brace group were instructed to wear a rigid brace full-time for 12 weeks. Patients in the no brace group were instructed to wear a soft corset for 2 weeks, after which it was weaned off. In all patients, the Visual Analogue Scale and Oswestry Disability Index scores were evaluated preoperatively; postoperatively; and at 6 weeks, 3, 6, and 12 months of follow-up. The fusion rates, complications, and reoperation rates were recorded. In total, 44 patients were assigned to the brace group (mean age, 69.2±10.7 y), and 46 were assigned to the no brace group (mean age, 68.8±11.9 y). All patients received at least 12 months of follow-up. There were n...Continue Reading

References

Sep 16, 2008·The Spine Journal : Official Journal of the North American Spine Society·Jesse E BibleJonathan N Grauer
Nov 3, 2010·The Journal of the American Academy of Orthopaedic Surgeons·Steven S AgabegiHarry N Herkowitz
Oct 11, 2013·PM & R : the Journal of Injury, Function, and Rehabilitation·Mohsen RostamiRamin Kordi
Dec 19, 2016·The Spine Journal : Official Journal of the North American Spine Society·Fatemeh AzadiniaNader Maroufi
Mar 23, 2017·The Spine Journal : Official Journal of the North American Spine Society·Hiroshi Takasaki, Takahiro Miki

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Citations

Nov 5, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Davide NasiGiacomo Pavesi

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