Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 Jun;13(3):349-390.
doi: 10.1007/s40122-024-00588-4. Epub 2024 Mar 23.

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

Michael J Dorsi  1 , Patrick Buchanan  2 , Chau Vu  3 , Harjot S Bhandal  3 , David W Lee  4 , Samir Sheth  5 , Phil M Shumsky  3 , Nolan J Brown  6 , Alexander Himstead  6 , Ryan Mattie  7 , Steven M Falowski  8 , Ramana Naidu  9 , Jason E Pope  3
Affiliations
Review

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

Michael J Dorsi et al. Pain Ther. 2024 Jun.

Abstract

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.

Keywords: Degenerative spine disease; Lumbar fusion; Minimally invasive spine; Spinal stenosis; Spondylolisthesis.

PubMed Disclaimer

Conflict of interest statement

Michael J Dorsi serves as a consultant for Abbott, Camber Spine, Life Spine, Nevro, Nuvasive. Patrick Buchanan serves as a consultant and principal investigator for Abbott and PainTEQ. Chau Vu serves as a consultant for Saluda Medical; consultant and principal investigator for PainTEQ. Harjot S Bhandal serves as a consultant for Saluda Medica and principal investigator for Aurora Spine. David W Lee serves as a consultant for Medtronic, Boston Scientific, Mainstay Medical, Petal Surgical; speakers bureau for Abbott. Samir Sheth serves as consultant for SPR, Boston Scientific, Medtronic, and Vertos. Phil M Shumsky serves as a consultant for Saluda Medical. Nolan J Brown has no disclosures or conflicts of interest. Alexander Himstead has no disclosures or conflicts of interest. Ryan Mattie serves as a consultant for SPR therapeutics and Sutton Pierce. Steven M Falowski serves as a consultant for Saluda Medical, SPR Therapeutics, CornerLoc, PaintTEQ, SpineThera, and Aurora Spine and has relevant financial relationships with Abbott, Medtronic, Saluda Medical, CornerLoc and Mainstay. Ramana Naidu serves as a consultant for Avanos, Abbott, Bicycle Health, Biotronik, Bioventus, Boston Scientific, Cerevu, DoctorPlan, ExerAI, KarunaLabs, Medtronic, Nalu, Omnia Medical, PainTEQ, Relievant, Sonosite, SPR Therapeutics, and Vivex. Jason E Pope serves as a consultant for Abbott, Medtronic, Saluda, Flowonix, SpineThera, Vertos, Vertiflex, SPR Therapeutics, Tersera, Aurora, Spark, Ethos, Biotronik, Mainstay, WISE, Boston Scientific, Thermaquil; has received grant and research support from: Abbott, Flowonix, Saluda, Aurora, PainTEQ, Ethos, Muse, Boston Scientific, SPR Therapeutics, Mainstay, Vertos, AIS, Thermaquil; and is a shareholder of: Vertos, SPR Therapeutics, PainTEQ, Aurora, Spark, Celeri Health, Neural Integrative Solutions, Pacific Research Institute, Thermaquil and Anesthetic Gas Reclamation.

Figures

Fig. 1
Fig. 1
PRISMA flow diagram for review
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Clarençon F, Law-Ye B, Bienvenot P, Cormier É, Chiras J. The degenerative spine. Magn Reson Imaging Clin N Am. 2016;24(3):495–513. doi: 10.1016/j.mric.2016.04.008. - DOI - PubMed
    1. Gallucci M, Limbucci N, Paonessa A, Splendiani A. Degenerative disease of the spine. Neuroimaging Clin N Am. 2007;17(1):87–103. doi: 10.1016/j.nic.2007.01.002. - DOI - PubMed
    1. Parenteau CS, Lau EC, Campbell IC, et al. Prevalence of spine degeneration diagnosis by type, age, gender, and obesity using Medicare data. Sci Rep. 2021;11:5389. doi: 10.1038/s41598-021-84724-6. - DOI - PMC - PubMed
    1. Binder DK, Schmidt MH, Weinstein PR. Lumbar spinal stenosis. Semin Neurol. 2002;22(2):157–166. doi: 10.1055/s-2002-36539. - DOI - PubMed
    1. Harris RP, Helfand M, Woolf SH, for the Methods Work Group, Third U.S. Preventive Services Task Force et al. Current methods of the US Preventive Services Task Force: a review of the process. Am J Prev Med. 2001;20:21–35. doi: 10.1016/S0749-3797(01)00261-6. - DOI - PubMed