The effect of electrical stimulation on lumbar spinal fusion in older patients: a randomized, controlled, multi-center trial: part 1: functional outcome

Spine
Thomas AndersenCody E Bünger

Abstract

Randomized, controlled, multi-center trial. To investigate the effect of direct current (DC) electrical stimulation on functional and clinical outcome after lumbar spinal fusion in patients older than 60 years. Older patients have increased complication rates after spinal fusion surgery. Treatments which have the possibility of enhancing functional outcome and fusion rates without lengthening the procedure could prove beneficial. DC-stimulation of spinal fusion has proven effective in increasing fusion rates in younger and "high risk" patients, but functional outcome measures have not been reported. A randomized, clinical trial comprising 5 orthopedic centers. The study included a total of 107 patients randomized to uninstrumented posterolateral lumbar spinal fusion with or without DC-stimulation. Functional outcome was assessed using Dallas Pain Questionnaire, SF-36, Low Back Pain Rating Scale pain index, and walking distance. Follow-up after 1 year was 95/107 (89%). DC-stimulated patients had significant better outcome in 3 of 4 categories in the Dallas Pain Questionnaire, better SF-36 scores (not significantly), but no difference in pain scores were observed. Median walking distance at latest follow-up was better in the stim...Continue Reading

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Citations

Aug 25, 2011·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·Lisa Gregersen OestergaardFinn Bjarke Christensen
Aug 22, 2012·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·Thomas AndersenRikke Søgaard
Apr 30, 2010·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·Thomas AndersenCody Bünger
Sep 10, 2013·The Spine Journal : Official Journal of the North American Spine Society·Nicholas S AndradeViktor Bartanusz
Jul 12, 2018·IEEE Reviews in Biomedical Engineering·Jawad M KhalifehWilson Z Ray
Jun 16, 2015·The Cochrane Database of Systematic Reviews·Mark I JohnsonKathleen A Sluka
Apr 8, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Mit Balvantray BhavsarJohn H Barker

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