Pacific Spine and Pain Society (PSPS) Evidence Review of Surgical Treatments for Lumbar Degenerative Spinal Disease: A Narrative Review

Introduction Interventional treatment options for the lumbar degenerative spine have undergone a significant amount of innovation over the last decade. As new technologies emerge, along with the surgical specialty expansion, there is no manuscript that utilizes a review of surgical treatments with e...

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Bibliographic Details
Published in:	Pain and therapy Vol. 13; no. 3; pp. 349 - 390
Main Authors:	Dorsi, Michael J., Buchanan, Patrick, Vu, Chau, Bhandal, Harjot S., Lee, David W., Sheth, Samir, Shumsky, Phil M., Brown, Nolan J., Himstead, Alexander, Mattie, Ryan, Falowski, Steven M., Naidu, Ramana, Pope, Jason E.
Format:	Journal Article
Language:	English
Published:	Cheshire Springer Healthcare 01-06-2024 Adis, Springer Healthcare
Subjects:	Degenerative spine disease Internal Medicine Lumbar fusion Medicine Medicine & Public Health Minimally invasive spine Pain Medicine Review Spinal stenosis Spondylolisthesis Spondylolisthesis Lumbar fusion Minimally invasive spine Degenerative spine disease Spinal stenosis
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Summary:	Introduction Interventional treatment options for the lumbar degenerative spine have undergone a significant amount of innovation over the last decade. As new technologies emerge, along with the surgical specialty expansion, there is no manuscript that utilizes a review of surgical treatments with evidence rankings from multiple specialties, namely, the interventional pain and spine communities. Through the Pacific Spine and Pain Society (PSPS), the purpose of this manuscript is to provide a balanced evidence review of available surgical treatments. Methods The PSPS Research Committee created a working group that performed a comprehensive literature search on available surgical technologies for the treatment of the degenerative spine, utilizing the ranking assessment based on USPSTF (United States Preventative Services Taskforce) and NASS (North American Spine Society) criteria. Results The surgical treatments were separated based on disease process, including treatments for degenerative disc disease, spondylolisthesis, and spinal stenosis. Conclusions There is emerging and significant evidence to support multiple approaches to treat the symptomatic lumbar degenerative spine. As new technologies become available, training, education, credentialing, and peer review are essential for optimizing patient safety and successful outcomes.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23
ISSN:	2193-8237 2193-651X
DOI:	10.1007/s40122-024-00588-4