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October 20, 2025

Factors associated with long-term deterioration in back pain after surgical treatment for low-grade lumbar spondylolisthesis at 2 and 5 years: an evaluation from the Quality Outcomes Database spondylolisthesis data.

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Most patients (88%) improved after surgery, yet 12% reported worse back pain scores at 2 and 5 years.
Patients with lower baseline NRS back pain scores were more likely to experience deterioration at both 2 and 5 years.
Less improvement in ODI and persistent leg pain after surgery were also significant indicators of back pain worsening.
Those undergoing decompression without fusion showed a trend toward worse outcomes compared to those who had fusion.

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Implication

Observational analysis found that lower baseline back pain scores and persistent leg pain predicted deterioration, highlighting risks in surgical decisions.

Cite This Study

Croft et al. (2025) studied this question.

synapsesocial.com/papers/68f6379bb481a140a36cf5d4 https://doi.org/10.3171/2025.7.spine25248

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Implication

Observational analysis found that lower baseline back pain scores and persistent leg pain predicted deterioration, highlighting risks in surgical decisions.

Factors associated with long-term deterioration in back pain after surgical treatment for low-grade lumbar spondylolisthesis at 2 and 5 years: an evaluation from the Quality Outcomes Database spondylolisthesis data.

Key Points

Discussion

Implication

Cite This Study

Factors associated with long-term deterioration in back pain after surgical treatment for low-grade lumbar spondylolisthesis at 2 and 5 years: an evaluation from the Quality Outcomes Database spondylolisthesis data.

Key Points

Discussion

Implication

Cite This Study

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