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April 11, 2007

Nonoperative Treatment for Lumbar Disk Herniation

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2007;297(14):1545. doi:10.1001/jama.297.14.1545-a

To the Editor: In the Spine Patient Outcomes Research Trial (SPORT) observational cohort study, Dr Weinstein and colleagues1 reported that most patients with disk herniation had improvement in the measures of bodily pain and physical function, but the results for patients who received surgical treatment for disk herniation were considered marginally better than for those who received nonsurgical treatment. The physicians participating in SPORT were primarily surgeons, and it is concerning that the nonsurgical approaches used in the control population were not standardized.