STUDY DESIGN Randomized trial with a concurrent observational cohort study. OBJECTIVE To compare 8-year outcomes of surgery with nonoperative care for symptomatic lumbar spinal stenosis. SUMMARY OF BACKGROUND DATA Surgery for spinal stenosis has been shown to be more effective than nonoperative treatment during 4 years, but longer-term data are less clear. METHODS Surgical candidates from...

BACKGROUND Retrospective assessment of surgery outcome is considered problematic. The aims of this study were to evaluate the reproducibility and accuracy of a retrospective outcome assessment of lumbar spinal stenosis surgery with reference to prospective outcome scale measurements. METHOD Outcome of surgery from 100 lumbar spinal stenosis (LSS) patients was evaluated retrospectively from pa...

The oblique parasagittal diameter of the lumbar spinal canal at the L5-S I level was measured in 49 employees of the Wm Jennings Bryan Dorn Veterans' Hospital using real time ultrasound in a case-control study. Individuals with a canal diameter of less than 14 mm represented the lowest 10th percentile in this population and being in the narrowest 10th percentile constituted a risk factor for ti...

We read the article by Zhu et al (1) regarding an alternative approach for lumbar transforaminal epidural steroid injections. We found that their work was similar to our previously reported article, “Fluoroscopically guided transforaminal epidural dry needling for lumbar spinal stenosis using a specially designed needle” (2). In our article, we introduced a minimally invasive interventional tec...

BACKGROUND Poorer postoperative outcome is suggested after repairing surgery in diabetic patients with lumbar spinal stenosis in comparison with nondiabetic patients. The present study aimed to compare the clinical outcome of surgery for lumbar spinal stenosis and diabetic and nondiabetic patients to highlight the effect of diabetes on prognosis of this surgical procedure. METHODS This prospe...

BACKGROUND Lumbar spinal stenosis (LSS) is prevalent in those over the age of 65 years and the leading cause of spinal surgery in this population. Recent systematic reviews have examined the effectiveness of conservative management for LSS, but not relative to surgical interventions. The aim of this review was to systematically examine the effectiveness of land based exercise compared with deco...

BACKGROUND Interspinous spacers are used in selected patients for the treatment of lumbar spinal stenosis. The uses of interspinous devices are still debated, with reports of significantly higher reoperation rates and unfavourable cost-effectiveness compared to traditional decompression techniques. METHODS Six electronic databases were searched from their date of inception to December 2015. R...

Background: The syndrome of degenerative lumbar canal stenosis accounts for a large percentage causes low back pain in the elderly worldwide. Surgical management has demonstrated better clinical and radiological results than conservative treatment. It allows adequate decompression thecal sac compressed nerve roots. However, aggressive laminectomy with facetectomy been linked many postoperative ...

Degenerative lumbar spinal stenosis causing neurogenic claudicaton is a common condition impacting walking ability in older adults. There are other highly prevalent conditions in this patient population that have similar signs and symptoms and cause limited walking ability. The purpose of this study is to highlight the diagnostic challenges using three case studies of older adults who present w...

Posterior lumbar interbody fusion (PLIF) implants are increasingly being used for 360 degrees fusion after decompression of lumbar spinal stenosis combined with degenerative instability. Both titanium and PEEK (PolyEtherEtherKetone) implants are commonly used. Assessing the clinical and radiological results as well as typical complications, such as migration of the cages, is important. In addit...