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Temporary external fixation for low back pain: is it worth doing?
A A Faraj1, K Akasha, R C Mulholland
1Centre for Spinal Study and Surgery, University Hospital, Nottingham, UK.
Summary
External fixation tests for low back pain before spinal fusion showed significant complications. The test
Area of Science:
- Orthopedics
- Spinal Surgery
- Pain Management
Background:
- Low back pain is a prevalent condition often treated with spinal fusion.
- External fixation tests have been explored to predict surgical outcomes.
Purpose of the Study:
- To evaluate the efficacy and complications of external fixation tests preceding spinal fusion for low back pain.
- To determine if a positive external fixation test predicts successful spinal fusion outcomes.
Main Methods:
- Thirty-three patients with low back pain underwent spinal fusion after a positive external fixation test.
- Thirty-two spinal fusions and one sacroiliac joint fusion were performed.
Main Results:
- Complications associated with the external fixator were significant.
- Spinal fusion outcomes were not correlated with the positive external fixation test response.
- Multiple factors influence spinal fusion results.
Conclusions:
- The external fixation test is invasive and its clinical utility in managing low back pain is not justified.
- Alternative diagnostic and prognostic methods should be considered for spinal fusion candidates.