Toma de decisiones para el tratamiento de la ciática persistent

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This article has no abstract; the first 100 words appear below.

Lumbar disk herniations are among the most frequent causes of sciatica.1,2Fortunately for patients, sciatica is generally self-limited and resolves within 3 months in 70 to 90% of patients.2When symptoms do not improve, surgical diskectomy has been an accepted treatment since it was first described in theJournalnearly a century ago.3During the past 20 years, several studies, including the Maine Lumbar Spine Study,4and clinical trials, including the Spine Patient Outcomes Research Trial (SPORT),5-7have characterized the outcomes of surgical and nonsurgical treatment in patients with sciatica and lumbar disk herniation. These and other reports have supported . . .

Funding and Disclosures

Disclosure formsprovided by the authors are available with the full text of this editorial at NEJM.org.

Author Affiliations

From the Department of Orthopedic Surgery, Brigham and Women’s Hospital, and Harvard Medical School, Boston.

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