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Greater leg pain relief with lumbar microdiscectomy vs nonsurgical treatment for persistent sciatica
March 2020
Greater leg pain relief with lumbar microdiscectomy vs nonsurgical treatment for persistent sciatica
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 and twenty-eight patients with persistent sciatica due to lumbar disc herniation were randomized to receive either surgical treatment via lumbar discectomy or standard non-surgical treatment involving education, exercise, physiotherapy, oral analgesics and epidural glucocorticoid injections. The primary outcome of interest was leg pain intensity measured on a numeric rating scale, 6 mo...
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