Rates of lumbar disc surgery before and after implementation of multidisciplinary nonsurgical spine clinics.

Study Design: Correlation study.

Objectives: To assess the rates of lumbar disc surgery in North Jutland County, Denmark, before and after implementation of two nonsurgical spine clinics, and to compare the observed rates with those for the rest of Denmark in the same time periods.

Summary Of Background Data: Few studies have addressed initiatives to reduce high rates of lumbar disc surgery by improving nonsurgical care offered to patients with sciatica and low back pain.