Conservative Therapy and Early Surgery for Sciatica Yield Similar Outcomes
نویسنده
چکیده
Setting and participants. 283 patients aged 18 to 65 years with a 6to 12-week history of sciatica diagnosed by neurologist and with a radiologically confirmed disk herniation were enrolled. Patients who were pregnant or who had cauda equina syndrome, muscle paralysis, previous spine surgery, bony stenosis, spondylolisthesis, severe coexisting disease, or prior sciatica episode within 12 months were excluded.
منابع مشابه
Prolonged conservative care versus early surgery in patients with sciatica caused by lumbar disc herniation: two year results of a randomised controlled trial.
OBJECTIVES To evaluate the effects of early lumbar disc surgery compared with prolonged conservative care for patients with sciatica over two years of follow-up. DESIGN Randomised controlled trial. SETTING Nine Dutch hospitals. PARTICIPANTS 283 patients with 6-12 weeks of sciatica. INTERVENTIONS Early surgery or an intended six months of continued conservative treatment, with delayed su...
متن کاملEarly surgery was better than conservative care for short-term disability and pain in sciatica.
ED FROM Peul WC, van den Hout WB, Brand R, et al. Prolonged conservative care versus early surgery in patients with sciatica caused by lumbar disc herniation: two year results of a randomised controlled trial. BMJ 2008;336:135528. Correspondence to: Dr W C Peul, Leiden University Medical Centre, Leiden, The Netherlands; [email protected] Sources of funding: Netherlands Organisation for Health Re...
متن کاملSurgery versus prolonged conservative treatment for sciatica.
BACKGROUND Lumbar-disk surgery often is performed in patients who have sciatica that does not resolve within 6 weeks, but the optimal timing of surgery is not known. METHODS We randomly assigned 283 patients who had had severe sciatica for 6 to 12 weeks to early surgery or to prolonged conservative treatment with surgery if needed. The primary outcomes were the score on the Roland Disability ...
متن کاملProlonged conservative care versus early surgery in patients with sciatica from lumbar disc herniation: cost utility analysis alongside a randomised controlled trial.
OBJECTIVE To determine whether the faster recovery after early surgery for sciatica compared with prolonged conservative care is attained at reasonable costs. DESIGN Cost utility analysis alongside a randomised controlled trial. SETTING Nine Dutch hospitals. PARTICIPANTS 283 patients with sciatica for 6-12 weeks, caused by lumbar disc herniation. INTERVENTIONS Six months of prolonged co...
متن کاملLumbar Herniated Disc/Sciatica – Microendoscopic Discectomy Versus Open Surgery Versus Prolonged Conservative Treatment
Wayne R. Nelson, DC ConditionForLife.net November 9, 2015 Lumbar-spine disorders rank fifth among disease categories in the cost of hospital care and account for higher costs resulting from absenteeism from work and disability than any other category. The natural history of sciatica is favorable, with resolution of leg pain within 8 weeks from onset in the majority of patients. Although relief ...
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تاریخ انتشار 2007