Article
Biochemistry & Molecular Biology
Fabienne Louis-Sidney, Jean-Florent Duby, Aissatou Signate, Serge Arfi, Michel De Bandt, Benoit Suzon, Philippe Cabre
Summary: This study compared the clinical response between surgical and conservative treatment in Afro-Caribbean patients with lumbar spine stenosis. The results showed the long-term superiority of decompression surgery over conservative treatment over an 18-month period.
Review
Surgery
Fei-Long Wei, Cheng-Pei Zhou, Rui Liu, Kai-Long Zhu, Ming-Rui Du, Hao-Ran Gao, Sheng-Da Wu, Li-Li Sun, Xiao-Dong Yan, Ya Liu, Ji-Xian Qian
Summary: The network meta-analysis and systematic review on interventions for lumbar spinal stenosis found that surgical interventions provided better pain relief but had higher complication rates, with endoscopic decompression being a less invasive surgical approach.
INTERNATIONAL JOURNAL OF SURGERY
(2021)
Review
Clinical Neurology
David B. Anderson, Katie De Luca, Rikke K. Jensen, Jillian P. Eyles, James M. Van Gelder, Jana L. Friedly, Christopher G. Maher, Manuela L. Ferreira
Summary: This review assessed 10 clinical practice guidelines on the treatment of lumbar spinal stenosis, with only 4 of them meeting satisfactory methodological quality. While the evidence supporting different interventions was similar, guidelines tended to endorse surgery and injections over nonsurgical interventions and medications.
Article
Geriatrics & Gerontology
Sota Nagai, Risa Inagaki, Takehiro Michikawa, Soya Kawabata, Kaori Ito, Kurenai Hachiya, Hiroki Takeda, Daiki Ikeda, Shinjiro Kaneko, Shigeki Yamada, Nobuyuki Fujita
Summary: This study aimed to review polypharmacy in elderly patients with lumbar spinal canal stenosis and examine how surgical treatment reduces polypharmacy. The results showed that the number of drugs postoperatively was significantly less than preoperatively, especially for pain relief and digestive diseases. Multivariable analysis revealed that a higher score in psychological disorders was associated with a reduction of 3 or more drugs after surgery.
Article
Clinical Neurology
Suzanne McIlroy, Feroz Jadhakhan, David Bell, Alison Rushton
Summary: This study found that older age, obesity, greater pre-operative pain and disability, and lower quality of life are associated with an increased risk of poor walking ability post-surgery for lumbar spinal stenosis. On the other hand, greater pre-operative walking distance and higher education were associated with a decreased risk of poor walking ability post-surgery. Patients should be informed of their risk factors and may benefit from rehabilitation to improve their walking and surgical outcomes.
EUROPEAN SPINE JOURNAL
(2021)
Article
Clinical Neurology
Satoshi Ujigo, Naosuke Kamei, Kiyotaka Yamada, Toshio Nakamae, Hideaki Imada, Nobuo Adachi, Yoshinori Fujimoto
Summary: The study aimed to determine the relationship between postural sway and the severity of lumbar spinal canal stenosis as well as the effect on postoperative improvement. Stabilometry was performed on 52 patients who underwent decompression surgery for lumbar spinal canal stenosis. The results showed that the severity of canal stenosis affects postural sway, but it can be improved after surgery.
EUROPEAN SPINE JOURNAL
(2023)
Article
Multidisciplinary Sciences
Chi Heon Kim, Yunhee Choi, Chun Kee Chung, Ki-Jeong Kim, Dong Ah Shin, Youn-Kwan Park, Woo-Keun Kwon, Seung Heon Yang, Chang Hyun Lee, Sung Bae Park, Eun Sang Kim, Hyunsook Hong, Yongeun Cho
Summary: The study investigated outcomes of nonsurgical treatment for surgical candidates with lumbar disc herniation (LDH) who requested a second opinion through a comprehensive cohort study. Results showed significant improvement in both nonsurgical and surgical treatment groups, indicating that nonsurgical management may be a negotiable option for surgical candidates in shared decision-making process.
SCIENTIFIC REPORTS
(2021)
Article
Medicine, General & Internal
Takaya Imai, Sota Nagai, Takehiro Michikawa, Risa Inagaki, Soya Kawabata, Kaori Ito, Kurenai Hachiya, Hiroki Takeda, Daiki Ikeda, Shigeki Yamada, Nobuyuki Fujita, Shinjiro Kaneko
Summary: Treatment for lumbar spinal canal stenosis (LSCS) can be conservative or surgical. This study aimed to examine the impact of lumbar surgery on pharmacological treatment for patients with LSCS. The results showed a significant decrease in LSCS medications after lumbar surgery, but around 15% of the participants experienced an increase in medication use.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Hyung-Youl Park, Ki-Won Kim, Ji-Hyun Ryu, Geon-U Kim, Ho-Young Jung, Youn-Sung Jung, Jun-Seok Lee
Summary: The aim of this study was to investigate the effect of lumbar spinal stenosis (LSS) on bone mineral density (BMD) in patients treated with oral bisphosphonates for osteoporosis. The study found that LSS had a negative impact on BMD increase. Ibandronate and alendronate were more effective in treating osteoporosis compared to risedronate, especially in patients with both osteoporosis and LSS.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Multidisciplinary Sciences
Chi Heon Kim, Chun Kee Chung, Yunhee Choi, Juhee Lee, Seung Heon Yang, Chang Hyun Lee, Sung Bae Park, Kyoung-Tae Kim, John M. Rhee, Moon Soo Park
Summary: The study compared the direct insured costs of surgical and nonsurgical treatments for degenerative lumbar disease using NHIS-National Sample Cohort. Initial surgical treatment incurred higher costs, but over time, the costs were similar between surgical and nonsurgical treatments.
Article
Surgery
Yong Zhang, Fei-Long Wei, Zhi-Xin Liu, Cheng-Pei Zhou, Ming-Rui Du, Jian Quan, Yan-Peng Wang
Summary: This study compares the efficacy of posterior decompression techniques with conventional laminectomy for lumbar spinal stenosis. The results indicate that bilateral laminotomy has advantages in functional recovery, postoperative stability, and postoperative rehabilitation outcomes.
FRONTIERS IN SURGERY
(2022)
Article
Clinical Neurology
Omer Faruk Kilicaslan, Vugar Nabi, Fatma Yardibi, Mehmet Ali Tokgoz, Ozkan Kose
Summary: This study aimed to identify trends and hot topics in research on lumbar spinal stenosis (LSS) over the past decade through bibliometric analysis, providing insights for future research directions. The analysis involved 4033 papers from 2010 to 2020, with key findings on productive years, top contributors, and emerging frontiers such as intervention, outcomes, and pathogenesis. Future research on minimally invasive surgery, outcomes, and gene therapies in LSS is expected to be prominent.
WORLD NEUROSURGERY
(2021)
Review
Clinical Neurology
Kyu-Bok Kang, Young-Soo Shin, Eun-Min Seo
Summary: This study compared the use of endoscopic spinal surgery (ESS) and microscopic spinal surgery (MSS) in patients with lumbar spinal stenosis through a systematic review and meta-analysis. While ESS showed a shorter duration of hospital stay, there were no significant differences in efficacy and safety compared to MSS. Further research is needed to validate these results.
GLOBAL SPINE JOURNAL
(2022)
Article
Clinical Neurology
Cristiane Carlesso, Sara R. Piva, Clair Smith, Carlo Ammendolia, Michael J. Schneider
Summary: The study assessed the responsiveness of the SPWT, SSS, and ODI in nonsurgical LSS patients and determined their minimal clinically important differences. The results indicated that these tests are responsive outcome measures for evaluating changes in walking and physical function in nonsurgical LSS patients.
Article
Geriatrics & Gerontology
Suzanne McIlroy, Edward Walsh, Christina Sothinathan, Elizabeth Stovold, Daniel Norwitz, Sam Norton, John Weinman, Lindsay Bearne
Summary: The study found a strong positive correlation between preoperative walking capacity and postoperative walking capacity. However, spondylolisthesis and the severity of stenosis were not associated with postoperative walking capacity. Further research is needed on mutable prognostic factors to optimize surgical outcomes.