Conclusions.Surgery may be more efficacious than unstructured nonsurgical care for chronic back pain but may not be more efficacious than structured cognitive-behavior therapy.

• 结论：与非系统性的非手术疗法相比，手术治疗慢性腰痛可能效果更好，但与系统的认知-行为治疗相比，可能不会更有效。