Table 26. 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.