Spine rehabilitation. Secondary and tertiary nonoperative care

Spine (Phila Pa 1976). 1995 Sep 15;20(18):2060-6.


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 barriers 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.

Publication types

  • Review

MeSH terms

  • Humans
  • Spinal Diseases / rehabilitation*
  • Treatment Outcome
  • Work Capacity Evaluation