Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT) observational cohort.

ABSTRACT:

Context

For patients with lumbar disk herniation, the Spine Patient Outcomes Research Trial (SPORT) randomized trial intent-to-treat analysis showed small but not statistically significant differences in favor of diskectomy compared with usual care. However, the large numbers of patients who crossed over between assigned groups precluded any conclusions about the comparative effectiveness of operative therapy vs usual care.

Objective

To compare the treatment effects of diskectomy and usual care.

Design, setting, and patients

Prospective observational cohort of surgical candidates with imaging-confirmed lumbar intervertebral disk herniation who were treated at 13 spine clinics in 11 US states and who met the SPORT eligibility criteria but declined randomization between

SUBMITTER: Weinstein JN 

PROVIDER: S-EPMC2562254 | biostudies-literature | 2006 Nov

REPOSITORIES: biostudies-literature