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Workers’ Compensation, Return to Work, and Lumbar Fusion for Spondylolisthesis

Chiro.Org Blog: This is an interesting follow-up to a 2011 study drawn from the Ohio Bureau of Workers’ Compensation database. [Startling New Study Reveals That Back Surgery Fails 74% of the Time] In the 2011 study, two years AFTER surgery, only 26 percent had returned to work. That translates to a resounding 74% failure rate! In this current study, researchers reviewed the files of 686 workers who underwent fusion surgery for spondylolisthesis between 1993 and 2013, revealing that only 29.9% of them ever returned to work (for at least 6 months). The failure rate (meaning return-to-work) was 70.1%. […]

Cost Analysis Related to Dose-response of Spinal Manipulative Therapy for Chronic Low Back Pain

Chiro.Org Blog: This study shows that manipulation can have a modicum of benefit in LBP-related pain and disability without significantly increasing treatment or societal costs. In the main results paper reporting pain and disability on 100-point scales, Haas et al found an 8.6-point advantage in pain (p=.002) and 7.5-point advantage in disability (p=.011) for SMT 12 compared to the control at 12 weeks. In this study, we found that this benefit may occur without significant increases in costs of treatment or lost productivity. […]