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Evidence-Based Orthopaedics   |    
Review: Surgery May Be More Effective Than Unstructured Nonoperative Treatment for Chronic Low-Back Pain

View Disclosures and Other Information
Sources of funding: National Institutes of Health and National Institute of Arthritis, Musculoskeletal and Skin Disorders.
For correspondence: Dr. S.K. Mirza, Department of Orthopedics and Sports Medicine and Department of Neurological Surgery, Harborview Medical Center, University of Washington, Box 359798, 325 Ninth Avenue, Seattle, WA 98104-2499, USA. E-mail address: mirza@u.washington.edu
Mirza SK, Deyo RA. Systematic Review of Randomized Trials Comparing Lumbar Fusion Surgery to Nonoperative Care for Treatment of Chronic Back Pain.
Spine
. 2007Apr1;32: 816-23.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2007 Nov 01;89(11):2558-2558. doi: 10.2106/JBJS.8911.ebo3
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Extract

Question: In patients with chronic low-back pain and disc degeneration, how do surgical and nonsurgical treatments compare?Data sources: MEDLINE and references of review articles.Study selection and assessment: Randomized controlled trials (RCTs) that compared surgical with nonsurgical treatment for discogenic back pain. Studies that focused specifically on comparing injections or other percutaneous treatments were not included. Study quality was assessed with use of the checklist for the Consolidated Standards of Reporting Trials.
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    pain ; lower back

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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