Clinical digest Surgery is not the sole solution for people with back pain

摘要

Researchers In Norway favoyr rehabilitation programme to treat degenerative condition Surgical intervention with disc prosthesis for chronic lower back pain results in a greater improvement in disability scores than rehabilitation. However, this improvement does not clearly exceed minimally important clinical differences between groups. Researchers in Norway compared the efficacy of disc prosthesis and a multidisciplinary rehabilitation programme. A total of 173 patients with a history of lower back pain for at least a year, an Oswestry disability index of at least 30 points and degenerative changes in one or two lower lumbar spine levels were recruited. They were randomised to either disc prosthesis surgery (n=86) or a rehabilitation programme for 12 to 15 days. They were followed up for two years,