The trial was designed to provide data and outcomes to guide doctors and their patients in their treatment choices for three common spinal disorders: intervertebral disc herniation, degenerative spondylolisthesis and lumbar spinal stenosis. The assessment of patient-generated outcomes has produced cost-effectiveness data supporting surgical treatment for these conditions, as they provide significant value to the patient over the long term.
Key findings from the trial include:
• Most patients, according to the trial results, knew where their condition was headed.
• Those who noted improvement, or who felt that their symptoms were tolerable, recognized the value of waiting further, while those who felt no significant relief knew they needed surgical care.
• All primary outcomes “significantly favored surgical treatment” for IDH, DS and LSS.
• However, both surgical and non-surgical treatment for IDH resulted in significant relief of low back and leg pain.
• Surgery was much more effective over non-surgical treatments in treating DS and LSS symptoms.
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