Surgical versus non-surgical treatment for lumbar spinal stenosis

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Cochrane in CORR ®: Surgical Versus Non-surgical Treatment for Lumbar Spinal Stenosis.

BACKGROUND Lumbar spinal stenosis (LSS) is a debilitating condition associated with degeneration of the spine with aging. OBJECTIVES To evaluate the effectiveness of different types of surgery compared with different types of non-surgical interventions in adults with symptomatic LSS. Primary outcomes included quality of life, disability, function and pain. Also, to consider complication rates...

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Surgical Versus Nonsurgical Treatment for Lumbar Spinal Stenosis.

STUDY DESIGN A systematic review. OBJECTIVES The aim of this study is to evaluate the effectiveness of different types of surgery compared with different types of nonsurgical interventions in adults with symptomatic lumbar spinal stenosis (LSS). SUMMARY OF BACKGROUND DATA LSS is a debilitating condition associated with degeneration of the spine with aging. People with LSS experience a range...

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Surgical treatment of degenerative lumbar spinal stenosis

Degenerative lumbar spinal stenosis is the most common indication for lumbar spine surgery in adults over the age of 65. Although some studies have claimed improvement with conservative treatment, several comparative studies have shown better outcomes for surgical treatment for patients with moderate to severe stenosis. As the life expectancy of the elderly population increases, and by virtue o...

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Surgical versus nonsurgical therapy for lumbar spinal stenosis.

BACKGROUND Surgery for spinal stenosis is widely performed, but its effectiveness as compared with nonsurgical treatment has not been shown in controlled trials. METHODS Surgical candidates with a history of at least 12 weeks of symptoms and spinal stenosis without spondylolisthesis (as confirmed on imaging) were enrolled in either a randomized cohort or an observational cohort at 13 U.S. spi...

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Surgical treatment of lumbar spinal stenosis. Five-year follow-up.

We carried out a retrospective review of 155 patients with lumbar spinal stenosis who had been treated surgically and followed up regularly: 77 were evaluated at a mean of 6.5 years (5 to 8) after surgery by two independent observers. The outcome was assessed using the scoring system of Roland and Morris, and the rating system of Prolo, Oklund and Butcher. Instability was determined according t...

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ژورنال

عنوان ژورنال: Cochrane Database of Systematic Reviews

سال: 2016

ISSN: 1465-1858

DOI: 10.1002/14651858.cd010264.pub2