CHRONIC LOW BACK PAIN: MULTIFACTORIAL ASPECTS AFTER LUMBAR OSTEOARTHRITIS - A SYSTEMATIC REVIEW

ABSTRACT Chronic low back pain is a debilitating condition that significantly affects patients’ quality of life. One of the strategies for solving the problem has been lumbar spine arthrodesis, a widely used surgical intervention to treat various spinal pathologies. However, a considerable number of patients report continued pain even after the procedure. Given this scenario, this study aims to evaluate the chronic low back pain after lumbar spine arthrodesis. In addition, it aims to identify the main errors committed both in the preoperative and postoperative periods and the procedures that should be adopted to minimize the occurrence of persistent low back pain. The methodology used includes a literature review. By identifying the factors that contribute to failure to resolve pain and the best clinical practices, it is expected to provide guidelines to improve surgical results and decrease the incidence of chronic post-arthrodesis pain. Adopting these approaches can significantly transform the management of chronic low back pain in patients undergoing spinal arthrodesis, promoting a more effective recovery and improving their quality of life. Level of Evidence III; Systematic reviewb of Level III studies.