Surgical treatment for spondylolisthesis is superior compared to non-operative care .
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Surgical Compared with Nonoperative Treatment for Lumbar Degenerative Spondylolisthesis
J Bone Joint Surg Am. 2009 Jun;91(6):1295-304.607 patients with spondylolisthesis were separated into two cohorts. The first cohort was a randomized cohort, where patients were randomized to either operative or non-operative care. The second cohort was comprised of patients unwilling to undergo randomization. These patients chose to either undergo operative or non-operative care. Adherence to the treatment groups in both cohorts was low, with a significant number of non-operative patients electing to undergo surgery. As-treated analysis demonstrated significant improvements in pain and function scores at 4 year follow-up in the operative groups in both cohorts.
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