Comparison of treatments for lumbar disc herniation: Systematic review with network meta-analysis.

ABSTRACT:

Study design

Systematic review with network meta-analysis.

Objective

To compare patient outcomes of lumbar discectomy with bone-anchored annular closure (LD + AC), lumbar discectomy (LD), and continuing conservative care (CC) for treatment of lumbar disc herniation refractory to initial conservative management.

Summary of background data

Several treatment options are available to patients with refractory symptoms of lumbar disc herniation, but their comparative efficacy is unclear.

Methods

A systematic review was performed to compare efficacy of LD + AC, LD, and CC for treatment of lumbar disc herniation. Outcomes included leg pain, back pain, disability (each reported on a 0-100 scale), reherniation, and reoperation. Data were analyzed using random effects net

SUBMITTER: Arts MP 

PROVIDER: S-EPMC6408089 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature