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T12 - S1 fusion for pain. Done this?
Spine Health | Last Active: Jan 27 6:18pm | Replies (134)Comment receiving replies
I am always looking for high quality research to enable me to make good decisions about potential surgery. This is as good an overview of RCTs for the lumbar spine. As you will see there is very little evidence based research in this area to support most surgical interventions. Hope this helps you ask questions and ponder the "best" path. https://onlinelibrary.wiley.com/doi/full/10.1111/imj.14120
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This study is focused on common LBP and itself states that the research they looked at was poor. Almost all adults over 50 will have spine pathology, it's the nature of aging and most of those persons will not need surgery and can be treated conservatively. But when an adult has radiculopathy, neural claudication or severe stenosis, then surgery is typically the only treatment available. I don't know your status and this woman's MRI does not look particularly bad, but please don't use this study to discount all lumbar surgery. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5685967/