Surgical vs Conservative treatment for lumbar disc herniation: a prospective cohort study.

BMJ Dec 2016
Gugliotta M. et al

Evidence comparing the effectiveness of surgical and conservative treatment of symptomatic lumbar disc herniation.

Surgical treatment patients reported less back pain at 6 weeks than those receiving conservative therapy were more likely to report ≥50% decrease in back pain and reported less physical function disability at 52 weeks.The other assessments showed minimal between-groups.

Compared with conservative therapy, surgical treatment provided faster relief from back pain symptoms in patients with lumbar disc herniation, but did not show a benefit over conservative treatment in midterm and long-term outcomes.

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