Early surgery vs prolonged conservative treatment for sciatica patients with motor deficit .
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Recovery of motor deficit accompanying sciatica-subgroup analysis of a randomized controlled trial
Spine J. 2014 Sep 1;14(9):1817-24.150 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 patients allocated to conservative treatment, however this difference was no longer significant at the 26 or 52 week follow-up.
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