Spine Patient Outcomes Research Trial: Surgery Better for Appropriately Indicated Patients


The Spine Patient Outcomes Research Trial compared surgical and nonsurgical outcomes for three common lumbar spine diagnoses and found that when applying strict inclusion criteria, surgery can provide better treatment for patients, according to an article published in AAOS Now.

SPORT’s findings were presented at the 2010 North American Spine Society annual meeting and included patients who had intervertebral disc herniation, spinal stenosis and degenerative spondylolisthesis. The study focused on the treatment effect, which is the difference between surgical and nonsurgical outcomes.

The researchers followed 1,192 patients, 788 of which underwent discectomy for disc herniation. The rest received nonsurgical treatment. The treatment effect was substantially different between subgroups. It was found that patients who didn't have joint problems and those who were married improved more than others. There were some subgroups in the nonsurgical group that reported particularly poor outcomes.

Read the AAOS Now report on SPORT.

Read other coverage on spine surgery:

- 6 Things to Know About Endoscopic Cervical Spine Surgery

- NASS, Others Comment on North Carolina BCBS Policy on Lumbar Spinal Fusion

- Study Shows Risk Factors for Lower Back Pain in Adolescents

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