Surgical Management of Lumbar Radiculopathy: a Systematic Review.

ABSTRACT:

Background

Lumbar radiculopathy is characterized by radiating pain with or without motor weakness or sensory disturbances; the point prevalence ranges from 1.6 to 13.4%. The objective of this review was to determine the efficacy, safety, and cost of surgical versus nonsurgical management of symptomatic lumbar radiculopathy in adults.

Methods

We searched PubMed from January 1, 2007, to April 10, 2019 with hand searches of systematic reviews for studies prior to 2007. One reviewer extracted data and a second checked for accuracy. Two reviewers completed independent risk of bias and strength of evidence ratings.

Results

We included seven RCTs (N = 1158) and three cost-effectiveness analysis. Surgery reduced leg pain by 6 to 26 points more than nonsurgical interventions a

SUBMITTER: Clark R 

PROVIDER: S-EPMC7080952 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature