I've heard that workers' comp patients who have back surgery don't do so good. Is it because they are on worker's comp or because of the kind of back problem they have? I'm in a similar situation myself, and I'd like to know what to expect.

From studies done over the last 15 years, it seems that the results of lumbar fusion for chronic back pain could be better. In 1994, disabled workers in the state of Washington were studied. All had spinal fusion and high rates of disability afterwards. Continued back pain led to a second operation for many of the workers.

There's a current, ongoing study in Ohio with similar results. Researchers are hoping with access to the entire Ohio WC database, they can take a closer look at who gets better and who doesn't. How do patients with disc problems compare to patients with arthritic conditions? Or any other type of back problem?

Everyone will be followed for at least two years. Results will be measured by how many get back to work and how many end up on disability. Other outcomes will include how much and what kind of pain medications are used before and after surgery. We will continue to report the results as they are published.

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