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Patients have the same likelihood of receiving disability whether treated with or without surgery.
34%
137/405
Sixty percent of surgically treated patients undergo at least one more operation within 5 years.
11%
45/405
Only 20% of patients treated with surgery report improved symptoms of back and/or leg pain.
6%
26/405
A smaller portion of surgical patients, compared to nonsurgically treated patients, report improvement.
8%
34/405
Fifty percent of patients treated nonsurgically seek surgery within 5 years.
35%
143/405
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Atlas and associates, in the Maine Lumbar Spine Study, reported that overall, patients treated initially with surgery reported better outcomes. By 5 years, 19% of surgical patients had undergone at least one additional lumbar spine operation, and 16% of nonsurgical patients had opted for at least one lumbar spine operation. At the 5-year follow-up, 70% of patients initially treated surgically reported improvement in their predominant symptom (back or leg pain) versus 56% of those initially treated nonsurgically. They also noted that there was no difference in the proportion of patients receiving disability compensation at the 5-year follow-up.
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