Contemporary concepts in spine care: Spine rehabilitation: Secondary and tertiary nonoperative care

Tom G. Mayer, Peter Polatin, Barry Smith, Charlotte Smith, Robert Joseph Gatchel, Stanley A. Herring, Hamilton Hall, Ronald G. Donelson, Jerry Dickey, Wayne English

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

To achieve desirable behavioral outcomes, physicians treating spinal pain patients should be aware of appropriate algorithms for conservative care. Lower cost secondary rehabilitation can be effective if deconditioning, severity of physical symptoms, surgical equivocation, or psychosocial barrlers to recovery are not present. Patients who have extended disability in excess of 6 months, recognized psychosocial barriers (depression, substance abuse, personality disorders, secondary gain), or severe deconditioning have a better prognosis with tertiary care.

Original languageEnglish
Pages (from-to)2060-2066
Number of pages7
JournalSpine
Volume20
Issue number18
StatePublished - 1 Jan 1995

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Tertiary Healthcare
Spine
Rehabilitation
Personality Disorders
Substance-Related Disorders
Depression
Physicians
Costs and Cost Analysis
Pain

Keywords

  • Secondary spine care
  • Spine rehabilitation
  • Tertiary spine care

Cite this

Mayer, T. G., Polatin, P., Smith, B., Smith, C., Gatchel, R. J., Herring, S. A., ... English, W. (1995). Contemporary concepts in spine care: Spine rehabilitation: Secondary and tertiary nonoperative care. Spine, 20(18), 2060-2066.
Mayer, Tom G. ; Polatin, Peter ; Smith, Barry ; Smith, Charlotte ; Gatchel, Robert Joseph ; Herring, Stanley A. ; Hall, Hamilton ; Donelson, Ronald G. ; Dickey, Jerry ; English, Wayne. / Contemporary concepts in spine care : Spine rehabilitation: Secondary and tertiary nonoperative care. In: Spine. 1995 ; Vol. 20, No. 18. pp. 2060-2066.
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Mayer, TG, Polatin, P, Smith, B, Smith, C, Gatchel, RJ, Herring, SA, Hall, H, Donelson, RG, Dickey, J & English, W 1995, 'Contemporary concepts in spine care: Spine rehabilitation: Secondary and tertiary nonoperative care', Spine, vol. 20, no. 18, pp. 2060-2066.

Contemporary concepts in spine care : Spine rehabilitation: Secondary and tertiary nonoperative care. / Mayer, Tom G.; Polatin, Peter; Smith, Barry; Smith, Charlotte; Gatchel, Robert Joseph; Herring, Stanley A.; Hall, Hamilton; Donelson, Ronald G.; Dickey, Jerry; English, Wayne.

In: Spine, Vol. 20, No. 18, 01.01.1995, p. 2060-2066.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Contemporary concepts in spine care

T2 - Spine rehabilitation: Secondary and tertiary nonoperative care

AU - Mayer, Tom G.

AU - Polatin, Peter

AU - Smith, Barry

AU - Smith, Charlotte

AU - Gatchel, Robert Joseph

AU - Herring, Stanley A.

AU - Hall, Hamilton

AU - Donelson, Ronald G.

AU - Dickey, Jerry

AU - English, Wayne

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AB - To achieve desirable behavioral outcomes, physicians treating spinal pain patients should be aware of appropriate algorithms for conservative care. Lower cost secondary rehabilitation can be effective if deconditioning, severity of physical symptoms, surgical equivocation, or psychosocial barrlers to recovery are not present. Patients who have extended disability in excess of 6 months, recognized psychosocial barriers (depression, substance abuse, personality disorders, secondary gain), or severe deconditioning have a better prognosis with tertiary care.

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KW - Tertiary spine care

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Mayer TG, Polatin P, Smith B, Smith C, Gatchel RJ, Herring SA et al. Contemporary concepts in spine care: Spine rehabilitation: Secondary and tertiary nonoperative care. Spine. 1995 Jan 1;20(18):2060-2066.