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RCT
ACE Report #7249
Ace Report Cover Spine

Early surgery vs prolonged conservative treatment for sciatica patients with motor deficit


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

Recovery of motor deficit accompanying sciatica-subgroup analysis of a randomized controlled trial

Spine J. 2014 Sep 1;14(9):1817-24.

Contributing Authors: GM Overdevest CL Vleggeert-Lankamp WC Jacobs R Brand BW Koes WC Peul Leiden-The Hague Spine Intervention Prognostic Study Group

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Synopsis

150 patients with 6-12 weeks of sciatica due to a lumbar disc herniation and moderate to severe motor deficit were randomly allocated to undergo early surgery or prolonged conservative treatment. This subgroup analysis of a previously published randomized controlled trial aimed to compare motor deficit recovery between groups. Patients allocated to early surgery recovered more rapidly than patient...

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