Lumbar Disk Herniation and SPORT: A Review of the Literature.

Abstract:

:The Spine Patient Outcomes Related Trial (SPORT) is arguably one of the most impactful and insightful studies conducted in spine surgery. Designed as a prospective, multicenter study with a randomized and observational cohort, SPORT has provided vast data on the pathogenesis, treatment effects, clinical outcomes, cost effectiveness of both disk herniation and lumbar spinal stenosis. With regards to lumbar disk herniation, SPORT has demonstrated a sustained benefit from surgical intervention and acceptable cost-effectiveness at 2, 4, and 8 years postoperatively. Myriad subgroup analyses have subsequently been performed that have also resulted in clinically relevant findings. These analyses have assessed optimal timing for surgery, incidence and risk factors for reoperation, impact of obesity and other comorbidities, influence of epidural injections, and evaluation of socioeconomic factors. This has resulted in significant findings that may allow spine surgeons to optimize patient outcomes while managing expectations appropriately.

journal_name

Clin Spine Surg

journal_title

Clinical spine surgery

authors

Ilyas H,Savage J

doi

10.1097/BSD.0000000000000696

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

366-372

issue

9

eissn

2380-0186

issn

2380-0194

journal_volume

31

pub_type

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