Bracing and Activity Restriction After Lumbar Discectomy Surgery: An International Survey of AO Spine Members

Despite recent literature insights showing limited evidence of efficacy, 34% and 80% of a large cohort of international surgeons practice bracing and recommend AR after LDS for variable durations. Extensive bony decompression and radical discectomy significantly influenced the decision to brace, similarly endoscopic approaches and radical discectomy influenced the decision to restrict activity. These findings emphasize the persistent evidence-practice gap and the wide variability on the global level. More randomized controlled trials are warranted on this topic to reach an evidence-based recommendation.

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Publication Details

Journal
Neurospine
Published
2026-01-30
DOI
https://doi.org/10.14245/ns.2551622.811
Primary Topic
Spine and Intervertebral Disc Pathology
Type
article
Field-Weighted Citation Impact
0.00
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article

Bracing and Activity Restriction After Lumbar Discectomy Surgery: An International Survey of AO Spine Members

Carla Cunha, AO Spine Knowledge Forum Degenerative, S. Grad, Mohamed AR Soliman et al.
Neurospine
Spine and Intervertebral Disc Pathology
article

Bracing and Activity Restriction After Lumbar Discectomy Surgery: An International Survey of AO Spine Members

Carla Cunha, AO Spine Knowledge Forum Degenerative, S. Grad, Mohamed AR Soliman, Sam Cho, Hans-Jörg Meisel, Waeel O. Hamouda, Zorica Buser, In Ho Han, Luca Ambrosio, Amit Jain, Stjepan Ivandic, Stipe Ćorluka, Tim S. Yoon, Gianluca Vadalà, Jeffrey C. Wang, Fabrizio Russo
article en

Abstract

Despite recent literature insights showing limited evidence of efficacy, 34% and 80% of a large cohort of international surgeons practice bracing and recommend AR after LDS for variable durations. Extensive bony decompression and radical discectomy significantly influenced the decision to brace, similarly endoscopic approaches and radical discectomy influenced the decision to restrict activity. These findings emphasize the persistent evidence-practice gap and the wide variability on the global level. More randomized controlled trials are warranted on this topic to reach an evidence-based recommendation.

NeurospineVol. 23(1)
University of Southern California (US), Johns Hopkins University (US), Emory University (US), Università Campus Bio-Medico (IT), AO Foundation (CH), Meenakshi Academy of Higher Education and Research (IN), University of Applied Health Sciences (HR), Pusan National University Hospital (KR), Sisters of Charity Hospital (HR), Orthopaedic Research Group (IN), Security Forces Hospital (SA), Meenakshi Medical College Hospital and Research Institute (IN), Campus Bio Medico University Hospital (IT), BG Klinikum Bergmannstrost Halle (DE), Neurological Surgery (US), i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto (PT), Cairo University hospitals (EG), New York University (US), University at Buffalo, State University of New York (US), Icahn School of Medicine at Mount Sinai (US)
Peace, Justice and strong institutions
Openalex Percentile: Top 74%
Spine and Intervertebral Disc Pathology
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