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ACE Report #3695
Ace Report Cover Spine

Lumbar disc herniation: Surgery versus nonoperative treatment

Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:N/A

Surgical vs Nonoperative Treatment for Lumbar Disk Herniation: The Spine Patient Outcomes Research Trial (SPORT): A Randomized Trial

JAMA. 2006 Nov 22;296(20):2441-50

Contributing Authors: JN Weinstein JD Lurie TD Tosteson JS Skinner B Hanscom AN Tosteson H Herkowitz J Fischgrund FP Cammisa T Albert RA Deyo

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501 patients with intervertebral disc herniation were randomized to receive standard open discectomy with examination of the irritated nerve root or non-operative care. Symptom severity improved significantly more in the surgery group than the non-operative group at 3 months, 1 year and 2 years. Self-reported improvement was also significantly better in the surgery group than in the non-operative ...

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