Table 27.

Spinal Surgery in PDB

Risk‐benefit balance

Spine surgery can be performed successfully with good results in patients with PDB. The benefit of surgery is likely to outweigh the risks in most cases.

Quality of evidence

Very low

Patient values and preferences

Patients highly value the symptom relief and improvement in neurological symptoms that spine surgery may provide.

Costs and use of resources

The treatment costs for spine surgery are considerable, but in many cases the procedure may be cost‐effective.

Recommendation

Spine surgery may be considered for patients with PDB who develop spinal stenosis and spinal cord compression.