Surgical interventions for lumbar disc prolapse

The McKenzie Method versus guideline-based advice in the treatment of sciatica: 24-month outcomes of a randomised clinical trial

“…Altogether, 21 sciatica patients had surgery due to lumbar disc herniation during the 24-month follow-up, and the surgery rates did not differ between groups. The prevalence rates of herniated disc surgeries may vary markedly between different countries and between different healthcare districts in the same country 5,9,27 The total surgery rate of 32% in the present study is in the range from 5% to 54% of previous studies. 5,28 The reason for the apparently high surgery rate in the present study may be that the study population comprised patients commonly treated conservatively in primary healthcare for up to 6 weeks according to guidelines before referral to specialist healthcare, or even longer depending on the severity of symptoms and the patient's preference for conservative treatment.…”

The McKenzie Method versus guideline-based advice in the treatment of sciatica: 24-month outcomes of a randomised clinical trial

“…Altogether, 21 sciatica patients had surgery due to lumbar disc herniation during the 24-month follow-up, and the surgery rates did not differ between groups. The prevalence rates of herniated disc surgeries may vary markedly between different countries and between different healthcare districts in the same country 5,9,27 The total surgery rate of 32% in the present study is in the range from 5% to 54% of previous studies. 5,28 The reason for the apparently high surgery rate in the present study may be that the study population comprised patients commonly treated conservatively in primary healthcare for up to 6 weeks according to guidelines before referral to specialist healthcare, or even longer depending on the severity of symptoms and the patient's preference for conservative treatment.…”

Real-world treatment patterns and management gaps of lumbar disc herniation in the United States

“…In this study, approximately one quarter of patients with LDH underwent invasive treatment after conservative treatment. Among patients who underwent any invasive treatment (ESI or surgery), 15% did not follow a suggested treatment pattern, i.e., a period of only conservative treatment as the first-line treatment, providing time for LDH to potentially resolve as it does in the majority of cases [ 3 , 4 , 15 , 17 ]. In addition, a notable proportion of the patients who underwent LDH surgery (44%) were treated with surgery without receiving any prior ESI, which could also be considered by some to be guideline-discordant treatment escalation.…”

Combination of MSAT and Korean Medicine for Managing Foot Drop Due to Lumbar Disc Herniation: Case Report

“…Surgical treatments are useful, but surgical treatment has a higher risk of complications 9) and does not show superiority to conservative treatment in the midterm and longterm 10) . Conservative management provides pain control for almost 90% of patients after 3 months 11) . Acupuncture is also an effective means in the conservative treatment of LDH and shown to be more advantageous than lumbar traction, and…”

The McKenzie Method versus guideline-based advice in the treatment of sciatica: 24-month outcomes of a randomised clinical trial

“…Altogether, 21 sciatica patients had surgery due to lumbar disc herniation during the 24-month follow-up, and the surgery rates did not differ between groups. The prevalence rates of herniated disc surgeries may vary markedly between different countries and between different healthcare districts in the same country 5,9,27 The total surgery rate of 32% in the present study is in the range from 5% to 54% of previous studies. 5,28 The reason for the apparently high surgery rate in the present study may be that the study population comprised patients commonly treated conservatively in primary healthcare for up to 6 weeks according to guidelines before referral to specialist healthcare, or even longer depending on the severity of symptoms and the patient's preference for conservative treatment.…”

Real-world treatment patterns and management gaps of lumbar disc herniation in the United States

“…In this study, approximately one quarter of patients with LDH underwent invasive treatment after conservative treatment. Among patients who underwent any invasive treatment (ESI or surgery), 15% did not follow a suggested treatment pattern, i.e., a period of only conservative treatment as the first-line treatment, providing time for LDH to potentially resolve as it does in the majority of cases [ 3 , 4 , 15 , 17 ]. In addition, a notable proportion of the patients who underwent LDH surgery (44%) were treated with surgery without receiving any prior ESI, which could also be considered by some to be guideline-discordant treatment escalation.…”

Combination of MSAT and Korean Medicine for Managing Foot Drop Due to Lumbar Disc Herniation: Case Report

“…Surgical treatments are useful, but surgical treatment has a higher risk of complications 9) and does not show superiority to conservative treatment in the midterm and longterm 10) . Conservative management provides pain control for almost 90% of patients after 3 months 11) . Acupuncture is also an effective means in the conservative treatment of LDH and shown to be more advantageous than lumbar traction, and…”

The McKenzie Method versus guideline-based advice in the treatment of sciatica: 24-month outcomes of a randomised clinical trial

“…Altogether, 21 sciatica patients had surgery due to lumbar disc herniation during the 24-month follow-up, and the surgery rates did not differ between groups. The prevalence rates of herniated disc surgeries may vary markedly between different countries and between different healthcare districts in the same country 5,9,27 The total surgery rate of 32% in the present study is in the range from 5% to 54% of previous studies. 5,28 The reason for the apparently high surgery rate in the present study may be that the study population comprised patients commonly treated conservatively in primary healthcare for up to 6 weeks according to guidelines before referral to specialist healthcare, or even longer depending on the severity of symptoms and the patient's preference for conservative treatment.…”

Real-world treatment patterns and management gaps of lumbar disc herniation in the United States

“…In this study, approximately one quarter of patients with LDH underwent invasive treatment after conservative treatment. Among patients who underwent any invasive treatment (ESI or surgery), 15% did not follow a suggested treatment pattern, i.e., a period of only conservative treatment as the first-line treatment, providing time for LDH to potentially resolve as it does in the majority of cases [ 3 , 4 , 15 , 17 ]. In addition, a notable proportion of the patients who underwent LDH surgery (44%) were treated with surgery without receiving any prior ESI, which could also be considered by some to be guideline-discordant treatment escalation.…”

Combination of MSAT and Korean Medicine for Managing Foot Drop Due to Lumbar Disc Herniation: Case Report

“…Surgical treatments are useful, but surgical treatment has a higher risk of complications 9) and does not show superiority to conservative treatment in the midterm and longterm 10) . Conservative management provides pain control for almost 90% of patients after 3 months 11) . Acupuncture is also an effective means in the conservative treatment of LDH and shown to be more advantageous than lumbar traction, and…”