Point of view: a randomized, controlled trial of fusion surgery for lumbar spinal stenosis-lessons learnt and practical considerations.
نویسنده
چکیده
منابع مشابه
Comparing the Effect of Alendronate and Vitamin D Administration on Lumbosacral Fusion and Severity of Low Back Pain in Patients After Posterior Lumbar Fusion Surgery: A Randomized Clinical Trial
Background and purpose: Bone fusion is a dynamic process and availability of calcium and balance of vitamin D can be effective in post spinal cord fusion. There are contradictory results on this issue, so, we decided to compare the effect of administration of vitamin D and alendronate on lumbosacral vertebral fusion in patients undergoing posterior spinal fusion surgery. Materials and methods:...
متن کاملCommentary on: A randomized controlled trial of fusion surgery for lumbar spinal stenosis (Forsth P, Ólafsson G, Carlsson T, Frost A, Borgström F, Fritzell P, et al. N Eng J Med 2016;374:1414-23)
BACKGROUND This article by Forsth et al. published in the New England Journal of Medicine entitled A randomized controlled trial of fusion surgery for lumbar spinal stenosis determined that decompressions alone vs. decompressions/fusions were equally effective in treating 1-2 level spinal stensois with/without degenerative spondylolisthesis (DS). Additionally, decompression alone reduced the pe...
متن کاملArguments for the choice of surgical treatments in patients with lumbar spinal stenosis – a systematic appraisal of randomized controlled trials
BACKGROUND Lumbar spinal stenosis is the most common reason for spinal surgery in elderly patients. However, the surgical management of spinal stenosis is controversial. The aim of this review was to list aspects a surgeon considers when choosing a specific type of treatment. METHODS Appraisal of arguments reported in randomized controlled trials (RCTs) included in systematic reviews publishe...
متن کاملFrequency of Instrumentation in Lumbar Spinal Stenosis and Lumbar Disc Herniation
Background & Aim: Lumbosacral pain is extremely common as age increases. Spinal instrumentation is sometimes recommended for lumbar canal stenosis and disk herniation surgery. This study aimed at studying the frequency of instrumentation in patients referring to our center. Methods & Materials/Patients: This retrospective cross-sectional study included 1200 patients with low back and...
متن کاملبررسی میزان خونریزی در اعمال جراحی فیوژن خلفی مهره های کمری با پیش داروی کلونیدین خوراک
Background: Blood loss in spine surgery is an important issue, even though it has been understudied compared to hip and knee arthroplasty surgery. In this study we have evaluated the effect of oral clonidine as premedication on blood loss in lumbar spine fusion surgery under propofol and remifentanil anesthesia.Materials and Methods: In this prospective double-blinded randomized clinical trial,...
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عنوان ژورنال:
- Journal of spine surgery
دوره 2 2 شماره
صفحات -
تاریخ انتشار 2016