Consensus summary on the diagnosis and treatment of lumbar disc herniation

G. B.J. Andersson, M. O. Brown, J. Dvorak, R. J. Herzog, P. Kambin, A. Malter, J. A. McCulloch, J. A. Saal, K. F. Spratt, James Neil Weinstein

    Research output: Contribution to journalReview articlepeer-review

    117 Scopus citations

    Abstract

    Clinicians must not simply decide that a patient with symptoms and a positive diagnostic test has a reason for a specific treatment, and likewise clinicians must not decide that a patient with symptoms and a negative test does not have a clinically important problem. We must also consider the sensitivity, specificity and predictive value of the diagnostic test and the individual characteristics of the patient. Treatment outcome depends on many factors. Point of service decisions vs population based decisions are obviously different. Each patient presents to the treating practitioner on a given day, at a given time, and it is this picture upon which a plan of care is formulated.

    Original languageEnglish (US)
    Pages (from-to)75S-78S
    JournalSpine
    Volume21
    Issue number24 SUPPL.
    DOIs
    StatePublished - 1996

    ASJC Scopus subject areas

    • Orthopedics and Sports Medicine
    • Clinical Neurology

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