Surgery versus Conservative Care for Persistent Sciatica Lasting 4 to 12 Months

In a single-center, randomized trial involving 128 patients with sciatica lasting 4 to 12 months and lumbar disk herniation, diskectomy was superior to conservative care in reducing leg-pain intensity at 6 months after enrollment. Among the patients assigned to conservative care, 34% crossed over to...

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Veröffentlicht in:	The New England journal of medicine 2020-03, Vol.382 (12), p.1093-1102
Hauptverfasser:	Bailey, Chris S, Rasoulinejad, Parham, Taylor, David, Sequeira, Keith, Miller, Thomas, Watson, Jim, Rosedale, Richard, Bailey, Stewart I, Gurr, Kevin R, Siddiqi, Fawaz, Glennie, Andrew, Urquhart, Jennifer C
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Bone surgery Conservative Treatment - methods Cross-Over Studies Diskectomy - adverse effects Female Follow-Up Studies Glucocorticoids - administration & dosage Humans Injections, Epidural Intention to Treat Analysis Intervertebral Disc Displacement - complications Intervertebral Disc Displacement - drug therapy Intervertebral Disc Displacement - surgery Leg Magnetic resonance imaging Male Pain Pain - etiology Pain Measurement Patient Satisfaction Patients Physical Therapy Modalities Postoperative Complications Quality of Life Sciatica - etiology Sciatica - surgery Sciatica - therapy Spine (lumbar) Standard deviation Surgeons Surgery Treatment Outcome
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Beschreibung
Zusammenfassung:	In a single-center, randomized trial involving 128 patients with sciatica lasting 4 to 12 months and lumbar disk herniation, diskectomy was superior to conservative care in reducing leg-pain intensity at 6 months after enrollment. Among the patients assigned to conservative care, 34% crossed over to undergo surgery.
ISSN:	0028-4793 1533-4406
DOI:	10.1056/NEJMoa1912658