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Chronic Low Back Pain: Intensive Rehabilitation as Effective as Surgical Treatment (Spinal Fusion) of the Lumbar Spine

In this multicenter randomized controlled trial, 349 participants with chronic low back pain received either surgery or rehabilitation consisting of exercise and cognitive behavioral therapy. Both groups reported similar reductions in disability during two years of follow-up. No clear evidence emerged that spinal fusion surgery was any more beneficial than intensive rehabilitation. Koes BW. "Surgery versus intensive rehabilitation programmes for chronic low back pain." BMJ. 330: 1220-1221, 2005.



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