Sarcouncil Journal of Medicine and Surgery

Abstract: Degenerative disorders of the lumbar spine are common causes of chronic pain and disability where This study examined outcomes in patients treated surgically for degenerative lumbar spine instability while our Methods describes ( In this prospective study, 110 consecutive adult patients undergoing elective lumbar decompression and instrumented fusion for degenerative instability were enrolled at an academic tertiary care center between 2025 and 2026 furthermore Patients were assessed at a minimum of 1 year following surgery for radiographic, functional, and pain outcomes so according to Results: The mean ODI score improved by 22 points at 1 year, while back and leg pain scores improved by greater than 4 points on average. Based on the ODI, two-thirds of patients experienced a clinically significant improvement, while three-quarters had improvement in leg pain. Greater preoperative disability was independently associated with success. Complications were noted in approximately 20% of patients, with serious infection (<1%) and reoperation rates (8% at 2 years) lower and higher than expected, respectively. Conclusion: Elective surgical decompression and fusion of the lumbar spine in patients with degenerative instability led to clinically significant and sustained improvements in pain and function in most patients. Baseline disability was the strongest predictor of outcome.