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Surgery for herniated lumbar discs

Journal of General Internal MedicinePublished 1 September 1993
Richard M. Hoffman, Kimberly Wheeler, Richard A. Deyo
Citations154
SJR quartileQ1
SJR score1.99
SNIP1.71

TL;DR

Assessment of the risks and benefits of surgery for herniated lumbar discs and the methodologic quality of the literature found standard discectomy appears to offer better short-term outcomes than does conservative treatment, but long- term outcomes are similar.

Abstract

Most studies were poorly designed and reported. Standard discectomy appears to offer better short-term outcomes than does conservative treatment, but long-term outcomes are similar. Discectomies are relatively safe procedures, though reoperations are common and increase over time. Decisions for elective surgery must balance faster pain relief against the risks and costs of surgery.

Keywords

Medicine