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
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
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.
Review
Clinical Neurology
Jiachang Liang, Lirong Lian, Shaotian Liang, Haibo Zhao, Gao Shu, Jiwei Chao, Chao Yuan, Mingyu Zhai
Summary: The study found that unilateral biportal endoscopic spinal surgery (UBESS) is a feasible and effective approach for the treatment of lumbar spinal stenosis (LSS). The surgery offers flexibility, a wide field of view, and minimal soft tissue damage. Patients experienced significant improvement in pain, function, and quality of life after the surgery. However, the potential complications associated with the procedure should be taken into serious consideration.
WORLD NEUROSURGERY
(2022)
Article
Surgery
Wei Li, Haibin Wei, Ran Zhang
Summary: Compared with traditional techniques, minimally invasive fusion techniques may be effective in the treatment of lumbar spinal stenosis (LSS). Minimally invasive techniques were likely non-inferior with regards to postoperative complications.
Review
Medicine, Research & Experimental
Jian Shen, Qiang Wang, Yingmin Wang, Nan Min, Lin Wang, Fei Wang, Maoyu Zhao, Tongyi Zhang, Qingyun Xue
Summary: This study found that fusion and nonfusion surgeries had similar clinical effects and complication rates for lumbar spinal stenosis, with fusion surgery resulting in longer length of stay.
ADVANCES IN THERAPY
(2021)
Review
Pharmacology & Pharmacy
H. -X Zhuang, S. -J Guo, H. Meng, J. -S Lin, Y. Yang, Q. Fei
Summary: This systematic review and meta-analysis revealed that the unilateral biportal endoscopic spine surgery treatment of lumbar spinal stenosis has achieved good clinical results, showing promise as a minimally invasive alternative for patients with single segmental lumbar spinal stenosis.
EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES
(2023)
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
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)
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
Clinical Neurology
Farzin Farahbakhsh, Sepehr Khosravi, Vali Baigi, Masoud Pourghahramani Koltapeh, Amirmahdi Khayyamfar, Zahra Eskandari, Zahra Ghodsi, James Harrop, Vafa Rahimi-Movaghar
Summary: This study aimed to determine the prevalence of asymptomatic cervical spinal cord compression (CSCC) in patients with lumbar spinal stenosis (LSS) through systematic review and meta-analysis. The findings revealed a relatively high prevalence of asymptomatic CSCC in LSS patients. Therefore, spine surgeons are strongly recommended to exercise caution during surgery for lumbar stenosis and closely monitor individuals with symptomatic LSS for potential signs of emerging myelopathy.
GLOBAL SPINE JOURNAL
(2023)
Review
Medicine, General & Internal
Huaqiang Zhou, Xuhua Wang, Zhaoyuan Chen, Wuyang Liu, Jiaquan Luo
Summary: This study aimed to evaluate whether unilateral biportal endoscopy had a superior clinical effect compared with microscopic decompression in the treatment of lumbar spinal stenosis. The results showed that unilateral biportal endoscopy was more beneficial in terms of operation time, hospital stays, EuroQol 5-Dimension questionnaire, back pain visual analogue score, leg pain visual analogue score, and C-reactive protein level. There were no significant differences between the two groups in other outcome indicators.
Review
Clinical Neurology
Ting Li, Jingxin Yan, Qiuyu Ren, Jiang Hu, Fei Wang, Xilin Liu
Summary: This systematic review and meta-analysis aimed to compare the efficacy of the lumbar dynamic stabilization device Coflex with posterior lumbar fusion for lumbar spinal stenosis. The results showed that the Coflex group had shorter operation time, less blood loss, and shorter hospital stays. Furthermore, it had higher JOA score and ODI score during early follow-up, lower VAS score, lower complications rate, and lower ASD rate.
WORLD NEUROSURGERY
(2023)
Review
Medicine, Research & Experimental
Yue-Peng Wang, Shi-Lei Qin, Su Yang, Yun-Feng Xu, Peng-Fei Han
Summary: The aim of this study was to compare the effectiveness and safety of unilateral biportal endoscopic surgery (UBE) and microscopic decompression surgery (MD) for the treatment of lumbar spinal stenosis. A total of 12 eligible studies were included, involving 1,067 patients. The meta-analysis showed that UBE resulted in lower intraoperative blood loss, lower postoperative pain scores, better functional outcomes, and fewer complications compared to MD. UBE surgery was found to be a better option for the treatment of lumbar spinal stenosis than MD surgery.
EXPERIMENTAL AND THERAPEUTIC MEDICINE
(2023)
Review
Orthopedics
James J. Young, Rikke Kruger Jensen, Jan Hartvigsen, Ewa M. Roos, Carlo Ammendolia, Carsten Bogh Juhl
Summary: This review aimed to report the prevalence of coexisting lumbar spinal stenosis (LSS) with knee or hip osteoarthritis (OA) based on clinical and/or imaging case definitions. The prevalence of multimorbid LSS and knee or hip OA ranged from 0% to 54%, depending on the specified index condition and case definitions used. However, the variability in case definitions and the high risk of bias in the included studies limit the comparability and interpretation of the prevalence estimates.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Engineering, Biomedical
Carolina G. Fritsch, Mauricio P. Dornelles, Gabriel dos S. Oliveira, Bruno M. Baroni
Summary: This study evaluated the influence of hamstrings and quadriceps strength on the hamstrings-to-quadriceps ratio in male soccer players. The results showed that legs with lower ratios had decreased hamstrings concentric peak torque and increased quadriceps concentric peak torque.
SPORTS BIOMECHANICS
(2023)
Article
Anesthesiology
Z. Zhu, A. Chiarotto, W. T. M. Enthoven, S. M. A. Bierma-Zeinstra, B. W. Koes
Summary: This study investigated the outcomes of pain medication use in older people with back pain and found that medication users had higher pain intensity and poorer disability scores compared with non-users. Patients who de-escalated or stopped pain medication had lower pain and disability than non-users. Overall, pain medication did not result in better outcomes in older people with back pain.
EUROPEAN JOURNAL OF PAIN
(2023)
Editorial Material
Emergency Medicine
Christopher G. Maher, Aline Archambeau, Rachelle Buchbinder, Simon D. French, Julie Morphet, Michael K. Nicholas, Peter O'Sullivan, Marie Pirotta, Michael J. Yelland, Leo Zeller, Nivene Saad, Elizabeth Marles, Alice L. Bhasale, Christina Lane
EMERGENCY MEDICINE AUSTRALASIA
(2023)
Article
Emergency Medicine
Qiuzhe Chen, Chris G. Maher, Eileen Rogan, Gustavo Machado
Summary: This study compared care delivery for low back pain in Australian EDs between culturally and linguistically diverse (CALD) and non-CALD patients. The results showed that CALD patients were more likely to receive imaging and be admitted. The quality of care for low back pain in CALD patients needs special attention and improvement.
EMERGENCY MEDICINE JOURNAL
(2023)
Article
Emergency Medicine
Caitlin M. P. Jones, Danielle Coombs, Chung-Wei Christine Lin, Adrian Traeger, Qiang Li, Christina Abdel Shaheed, Sweekriti Sharma, Chris G. Maher, Gustavo C. Machado
EMERGENCY MEDICINE JOURNAL
(2023)
Article
Clinical Neurology
Carolina Gassen Fritsch, Paulo H. Ferreira, Thomas Lung, Andrew J. McLachlan, Manuela L. Ferreira
Summary: A cross-sectional analysis was conducted to determine the smallest change in function and the association with patient-related factors in a self-management intervention for low back pain. The results showed that, on average, a 9.4-point improvement in function was considered worthwhile by patients with LBP. Only the severity of baseline function was significantly associated with the smallest worthwhile change estimate.
EUROPEAN SPINE JOURNAL
(2023)
Editorial Material
Medicine, General & Internal
Christopher G. Maher, Aline Archambeau, Rachelle Buchbinder, Simon D. French, Julia Morphet, Michael J. Yelland, Peter O'Sullivan, Marie Pirotta, Michael J. Yelland, Leo Zeller, Nivene Saad, Elizabeth Marles, Alice L. Bhasale, Christina Lane
INTERNAL MEDICINE JOURNAL
(2023)
Review
Orthopedics
Mirna Chamoro, Katie de Luca, Omer Ozbulut, Edwin H. G. Oei, Carmen L. A. Vleggeert-Lankamp, Bart W. Koes, Sita M. A. Bierma-Zeinstra, Alessandro Chiarotto
Summary: This systematic review provides an overview of the associations between clinical and imaging findings suggestive of spinal osteoarthritis in patients with low back pain. It highlights the lack of agreed diagnostic criteria as a challenge in studying and diagnosing spinal osteoarthritis.
OSTEOARTHRITIS AND CARTILAGE
(2023)
Review
Orthopedics
Christopher S. Han, Christopher G. Maher, Daniel Steffens, Ashish Diwan, John Magnussen, Emma C. Hancock, Mark J. Hancock
Summary: This review investigates whether magnetic resonance imaging (MRI) findings predict future low back pain (LBP), associated disability and global recovery in people with current LBP. The results suggest that some MRI findings may have weak associations with future LBP, but larger high-quality studies are needed to resolve uncertainty.
JOURNAL OF PHYSIOTHERAPY
(2023)
Editorial Material
Orthopedics
Christina Abdel Shaheed, Stephanie Mathieson, Ross Wilson, Ann-Mason Furmage, Christopher G. Maher
JOURNAL OF PHYSIOTHERAPY
(2023)
Article
Medicine, General & Internal
Jan F. L. Gan, Marnee J. McKay, Caitlin M. P. Jones, Ian A. Harris, Kirsten McCaffery, Rachel Thompson, Tammy C. Hoffmann, Sam Adie, Christopher G. Maher, Joshua R. Zadro
Summary: This study developed a patient decision aid to portray the benefits and harms of non-surgical management and surgery for Achilles tendon ruptures, and conducted user-testing. The results showed that the decision aid was acceptable to both patients and health professionals. However, there were differing views among health professionals on details such as Achilles tendon retraction distance, factors modifying harm risks, treatment protocols, and evidence on benefits and harms.
Article
Medicine, General & Internal
Alla Melman, Harrison J. Lord, Danielle Coombs, Joshua Zadro, Christopher G. Maher, Gustavo C. Machado
Summary: This is the first systematic review with meta-analysis summarizing the global prevalence of hospital admissions and hospital length of stay for low back pain. The study found high heterogeneity in admission rates from the emergency department, with a median percentage of all hospital admissions due to low back pain being 0.9%. The median hospital length of stay for low back pain was 6.2 days. The overall quality of evidence was moderate.
Review
Medicine, General & Internal
Chang Liu, Giovanni E. Ferreira, Christina Abdel Shaheed, Qiuzhe Chen, Ian A. Harris, Christopher S. Bailey, Wilco C. Peul, Bart Koes, Chung -Wei Christine Lin
Summary: This study aimed to investigate the effectiveness and safety of surgery compared with non-surgical treatment for sciatica. The results suggest that surgery, such as discectomy, is more effective in reducing leg pain and disability compared to non-surgical treatment or epidural steroid injections, but the benefits may decline over time. Therefore, surgery may be considered as an option for patients with sciatica who prioritize rapid relief over the associated risks and costs.
BMJ-BRITISH MEDICAL JOURNAL
(2023)
Article
Endocrinology & Metabolism
Behnam Liaghat, Lars Folkestad, Soren T. Skou, Bart Koes, Jan Hartvigsen
Summary: This study investigated the prevalence of musculoskeletal pain in the upper and lower extremities among patients with type 1 and 2 diabetes in Denmark, as well as its consequences on care seeking, leisure time activity, and work life. The one-week prevalence ranged from 9.3% to 30.8%, and the 12-month prevalence ranged from 13.9% to 41.8%, with the highest prevalence observed in shoulder pain. The prevalence of pain was similar between type 1 and 2 diabetes for the upper extremity, but higher in type 2 diabetes for the lower extremity. Women had a higher pain prevalence for any joint in both diabetes types, while age groups did not show significant differences. More than half of the patients had reduced their activities at work or leisure time, and more than one-third had sought care for pain in the past year.
PRIMARY CARE DIABETES
(2023)
Article
Medicine, General & Internal
Caitlin M. P. Jones, Richard O. Day, Bart W. Koes, Jane Latimer, Chris G. Maher, Andrew J. McLachlan, Laurent Billot, Sana Shan, Chung-Wei Christine Lin
Summary: This study investigated the efficacy and safety of opioid analgesics for acute low back pain and neck pain. The results showed no significant difference in pain severity compared with placebo, indicating that opioids should not be recommended for these conditions.
