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Review Question - QID 544

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QID 544 (Type "544" in App Search)
In patients with lumbar disc herniations resulting in significant unilateral leg pain but no functionally limiting weakness, surgical decompression has what long term effects when compared to nonoperative management?

Worse outcomes in pain, physical function, and return to work status at 4 years.

3%

65/2314

Equivalent outcome in pain and physical function at 4 years.

39%

894/2314

Improved outcome in pain and physical function at 4 years.

52%

1200/2314

Improved outcome in return to work status only at 4 years.

2%

35/2314

Worse outcome in return to work status with equivalence in pain and physical function at 4 years.

4%

103/2314

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Recent evidence now supports that patients who undergo surgery for lumbar disc herniation have improved outcomes in bodily pain and physical function at 4 years.

Weinstein et al showed in the as-treated analysis that patients treated surgically for intervertebral disc herniation showed significantly greater improvement in pain, function, satisfaction, and self-rated progress over 4 years compared to patients treated non-operatively. They found at four years there was no significant difference in work status between the surgical and nonsurgical group.

Incorrect Answers:
Answer 1,2 &5: Surgical patients have improved outcomes in pain, physical function, at 4 years.
Answer 4: There is no difference in work status at 4 years.

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