Please use this identifier to cite or link to this item:
http://hdl.handle.net/1942/27447
Title: | Postoperative bracing after lumbar surgery: a survey amongst spinal surgeons in Belgium | Authors: | BOGAERT, Liedewij Van Wambeke, Peter Thys, Tinne Swinnen, Thijs Dankaerts, Wim Brumagne, Simon Moke, Lieven Peers, Koen Depreitere, Bart JANSSENS, Lotte |
Issue Date: | 2018 | Source: | EUROPEAN SPINE JOURNAL, 28 (2), p. 442-449 | Abstract: | Purpose Bracing is frequently prescribed following lumbar surgery for degenerative conditions. However, previous studies failed to demonstrate the advantage of postoperative lumbar bracing in both short- and long-term outcome in terms of pain, quality of life and fusion rate. The purpose of this study was to assess the prescription patterns and rationale for postoperative bracing amongst spinal surgeons in Belgium. Methods A 16-item online survey was distributed by email to spinal surgeons affiliated to the Spine Society of Belgium (N = 252). Results A total of 105 surgeons (42%) completed the survey. The overall bracing frequency following lumbar surgery was 38%. A brace was more often prescribed following the fusion procedures (52%) than after the non-fusion procedures (21%) (p < 0.0001). The majority of surgeons (59%) considered bracing after at least one type of lumbar surgery. Orthopaedic surgeons (73%) reported a significantly higher rate of prescribing postoperative bracing compared to neurosurgeons (44%) (p = 0.003). Pain alleviation (67%) was the main goal for prescribing a postoperative brace. A total of 42% of the surgeons aimed to improve fusion rate by bracing after lumbar fusion procedures. A quasi-equal level of the scientific literature (29%), personal experience (35%) and teaching from peers (36%) was reported to contribute on the attitudes towards prescribing bracing. Conclusions Postoperative bracing was prescribed by Belgian spinal surgeons following more than one-third of lumbar procedures. This was underpinned by beliefs regarding pain alleviation and higher fusion rate. Interestingly, based on the scientific literature these beliefs have been demonstrated to be false. | Notes: | Lotte Janssens and Bart Depreitere are shared last author. | Keywords: | Orthosis; Postoperative period; Practice pattern; Spine; Low back pain | Document URI: | http://hdl.handle.net/1942/27447 | ISSN: | 0940-6719 | e-ISSN: | 1432-0932 | DOI: | 10.1007/s00586-018-5837-0 | ISI #: | 000459167800029 | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2020 |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
BogaertL2018_authorversion_20181121.pdf Restricted Access | Peer-reviewed author version | 638.25 kB | Adobe PDF | View/Open Request a copy |
Bogaert2019_Article_PostoperativeBracingAfterLumba.pdf Restricted Access | Published version | 805.64 kB | Adobe PDF | View/Open Request a copy |
SCOPUSTM
Citations
3
checked on Sep 3, 2020
WEB OF SCIENCETM
Citations
15
checked on Oct 13, 2024
Page view(s)
102
checked on Aug 3, 2022
Download(s)
80
checked on Aug 3, 2022
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.