Lumbosacral radioculopathy: review of 100 consecutive cases

Of 100 consecutive patients with acute lumbosacral radiculopathy who were treated conservatively and the majority of whom were followed for at least 5 years, only 5% had to undergo laminectomy and diskectomy. Conservative management included complete bed rest for 2 to 3 weeks, with occasional use of anti-inflammatory drugs, and support of the lumbosacral spine, at first with a corset and later with vigorous abdominal strengthening exercises. Repeated electromyography was of value in assessing clinical weakness, providing objective guidance to management. It is concluded that in only rare instances is surgery indicated for lumbosacral radiculopathy secondary to disk derangement.