Resnick Daniel K
Department of Neurological Surgery, University of Wisconsin, Madison, WI, USA.
Spine (Phila Pa 1976). 2007 May 15;32(11 Suppl):S15-9. doi: 10.1097/BRS.0b013e318053d4b4.
Literature review.
To describe the state of the literature regarding the performance of lumbar fusion for low back pain due to degenerative disease of the spine.
The effectiveness and costs associated with spinal surgery have been a topic of significant debate in both the popular press and professional literature.
Evidence-based medicine techniques have been applied to many areas of spinal surgery. The results of these analyses are being used by practicing physicians, payors, and others to determine what procedures are appropriate for certain patient populations.
This manuscript describes the methodology, strengths, and weaknesses of evidence-based medicine approaches to spinal surgery. The case for lumbar fusion as a treatment for chronic low back pain due to degenerative disc disease is described as an example.
Evidence-based medicine is a useful tool for summarizing and grading the evidence available in the literature for or against a particular treatment strategy. Its utility is limited by the quality of the primary literature, and the absence of proof cannot be equated with the proof of absence.
文献综述。
描述关于因脊柱退行性疾病导致的腰痛进行腰椎融合术的文献状况。
脊柱手术的有效性和成本在大众媒体和专业文献中一直是激烈争论的话题。
循证医学技术已应用于脊柱手术的许多领域。这些分析结果正被执业医师、支付方及其他人员用于确定哪些手术适合特定患者群体。
本文描述了脊柱手术循证医学方法的方法、优势和不足。以腰椎融合术治疗因退行性椎间盘疾病导致的慢性腰痛为例进行了阐述。
循证医学是总结和分级支持或反对特定治疗策略的文献证据的有用工具。其效用受原始文献质量的限制，而且缺乏证据不能等同于证据不存在。
