Lumbar spine surgery can potentially provide quick pain relief and functional recovery. There are many downsides to surgery however that would include post laminectomy surgery syndrome and a lack of proven long term benefit. Because of these risks one should be very careful in determining surgical candidacy. A preliminary study15 has provided the evidence that the rate of back surgery can potentially be decreased through appropriate education and application of evidence–based medicine for patients, general practitioners and spine surgeons. Conservative treatment with the combination of medications, physical therapy, spinal injections and life style modification should be tried before surgery is considered.
British Journal of Medical Practitioners, 12/21/09
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