Evidence for Neurosurgery by Unknown

Author:Unknown
Language: eng
Format: epub
ISBN: 9783030163235
Publisher: Springer International Publishing

Conclusions

There is weak evidence that surgical treatment, if performed within 6 months after pain debut, leads to better clinical outcomes with regard to radiculopathy. Therefore, if we decide to treat a patient surgically, it would be better to do so within 6 months. If our surgical wait lists do not allow early planned surgical intervention, we should consider surgical treatment only if red flags force us to do so.

Even these studies were not completely free from bias. Since there is an overwhelming amount of contradictory results from low-evidence studies, it is currently impossible either to determine the reproducibility of these results or to compare these findings to other studies of similar quality. There is a need for further high-quality research and for alternative clinical investigations that would support spine surgeons in their daily clinical struggle. Future studies should focus on the utility of surgical treatment as well as on return-to-work data, as both are strong drivers of healthcare policy.

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