Surgery with disc prosthesis versus rehabilitation in patients with low back pain and degenerative disc: two year follow-up of randomised study.

Nov 17, 2011 by

Hellum C, Johnsen LG, Storheim K, Nygaard ØP, Brox JI, Rossvoll I, Rø M, Sandvik L, Grundes O, Norweigian Spine Study Group.

BMJ.  2011; 342: d2786.

PMID:  21596740

This multicenter randomized trial compared ProDisc to multidisciplinary rehabilitation in patients with chronic low back pain with disk degeneration.  This very high-quality report demonstrates that either treatment can be effective and surgery is more often effective but riskier.  They concluded that it is reasonable to try multidisciplinary rehabilitation before surgery.

web:  http://www.bmj.com/highwire/filestream/365887/field_highwire_article_pdf/0.pdf

VN:F [1.9.17_1161]
Scientific Quality:
Clinical Relevance:
Rating: 8.5/10 (1 vote cast)

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