Surgery for Low Back Pain: A Review of the Evidence for an American Pain Society Clinical Practice Guideline.

Nov 16, 2011 by

Chou R, Baisden J, Carragee EJ, Resnick DK, Shaffer WO, Loeser JD.

Spine.  2009;  34:  1094-1109.

PMID: 19363455

This paper systematically reviewed all RCTs and systematic reviews on surgery for DDD, disk herniation, or stenosis.  They found surgery more effective than non-surgical treatment for stenosis and radiculopathy but not DDD back pain.  This paper provides the definitive synthesis of all level-1 evidence on surgery for these conditions.

web:  http://journals.lww.com/spinejournal/pages/articleviewer.aspx?year=2009&issue=05010&article=00016&type=abstract

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