ORIGINAL ARTICLE: Surgery versus Prolonged Conservative Treatment for Sciatica

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ORIGINAL ARTICLE: Surgery versus Prolonged Conservative Treatment for Sciatica

NEJM The New England Journal of Medicine

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ORIGINAL ARTICLE: Surgery versus Prolonged Conservative Treatment for Sciatica - 31-05-2007, 03:20 AM

This randomized trial of 283 patients with 6 to 12 weeks of severe sciatica compared early microdiskectomy surgery with a strategy of prolonged conservative treatment with eventual surgery if needed. Patients who had early surgery reported faster recovery and more rapid improvement in leg pain. After 1 year, the outcomes in the two groups were similar, and 95% of the patients in both groups reported recovery.

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