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Surgery Versus Conservative Care For Persistent Sciatica Lasting 4 To 12 Months
May 2025
Surgery Versus Conservative Care For Persistent Sciatica Lasting 4 To 12 Months
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1
Surgery versus Conservative Care for Persistent Sciatica Lasting 4 to 12 Months.
N Engl J Med . 2020 Mar 19;382(12):1093-1102.Did you know you're eligible to earn 0.5 CME credits for reading this report? Click Here
Synopsis
One hundred twenty-eight patients with sciatica lasting 4 to 12 months due to lumbar disc herniation were randomized to receive either microdiscectomy (n=64) or 6 months of standardized nonoperative care (n=64). The primary outcome was leg pain intensity at 6 months. Secondary outcomes included back pain, Oswestry Disability Index (ODI), SF-36 quality-of-life scores, employment status, and treatme...
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