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The clinical and cost-effectiveness of lumbar fusion surgery for patients with persistent, severe low back pain: FusiOn veRsus bEst coNServatIve Care

Low back pain (LBP) is common and often improves without specific treatment.
Where it doesn’t, painkillers and physiotherapy can be successful and previous research has shown this is the best initial treatment. However, this approach does not work for all, and some people are left with persistent, severe LBP impacting their health, daily activities and work. One potential cause of more persistent LBP is thought to be ‘wear-and-tear’ (degeneration) of the spinal joints in the lower back. An operation called spinal fusion that surgically fixes the spinal bones together in that area may help. This type of operation has been used successfully for degenerative conditions in the ankle and wrist, but its benefit remains less clear for patients with LBP and spine degeneration.


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