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
AU - Herring, Stanley A.
AU - Hall, Hamilton
AU - Donelson, Ronald G.
AU - Dickey, Jerry
AU - English, Wayne
PY - 1995/9
Y1 - 1995/9
N2 - 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.
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.
KW - Secondary spine care
KW - Spine rehabilitation
KW - Tertiary spine care
UR - http://www.scopus.com/inward/record.url?scp=0029151717&partnerID=8YFLogxK
U2 - 10.1097/00007632-199509150-00021
DO - 10.1097/00007632-199509150-00021
M3 - Article
C2 - 8578385
AN - SCOPUS:0029151717
SN - 0362-2436
VL - 20
SP - 2060
EP - 2066
JO - Spine
JF - Spine
IS - 18
ER -