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November 25, 2009

Comparing Surgical Treatments for Sciatica

JAMA. 2009;302(20):2202-2203. doi:10.1001/jama.2009.1722

To the Editor: The randomized controlled trial by Dr Arts and colleagues1 compared 2 methods of treatment for sciatica (tubular and conventional microdiskectomy) and showed significantly better results for the latter in the primary outcome of functional assessment on the Ronald-Morris Disability Questionnaire (RDQ) at 1 year and better secondary outcomes on the visual analog scale for leg pain and back pain and patient's self-report of recovery. Although the authors could not determine the reasons for these results, they noted that the participating neurosurgeons had broad experience in both techniques.

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