Seminars in Spine Surgery
Volume 21, Issue 4 , Pages 230-237 , December 2009

Evidence-Based Treatment of Lumbar Spinal Stenosis

  • Andrew P. White, MD

      Affiliations

    • Carl J. Shapiro Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
    • Corresponding Author InformationAddress reprint requests to Andrew P. White, MD, Department of Orthopaedics, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215
    • ,
  • Todd J. Albert, MD

      Affiliations

    • Department of Orthopaedic Surgery, Thomas Jefferson University and Hospitals, The Rothman Institute, Philadelphia, PA

References 

  1. Amundsen T, Weber H, Nordal HJ, et al. Lumbar spinal stenosis: conservative or surgical management? (A prospective 10-year study). Spine. 2000;25:1424–1435
  2. Hurri H, Slatis P, Soini J, et al. Lumbar spinal stenosis: assessment of long-term outcome 12 years after operative and conservative treatment. J Spinal Disord. 1998;11:110–115
  3. Atlas SJ, Keller RB, Wu YA, et al. Long-term outcomes of surgical and nonsurgical management of lumbar spinal stenosis: 8 to 10 year results from the Maine Lumbar Spine Study. Spine. 2005;30:936–943
  4. Johnsson KE, Uden A, Rosen I. The effect of decompression on the natural course of spinal stenosis: a comparison of surgically treated and untreated patients. Spine. 1991;16:615–619
  5. Johnsson KE, Rosen I, Uden A. The natural course of lumbar spinal stenosis. Clin Orthop Relat Res. 1992;279:82–86
  6. Kent DL, Haynor DR, Larson EB, et al. Diagnosis of lumbar spinal stenosis in adults: a metaanalysis of the accuracy of CT, MR, and myelography. Am J Roentgenol. 1992;158:1135–1144
  7. Wildermuth S, Zanetti M, Duewell S, et al. Lumbar spine: quantitative and qualitative assessment of positional (upright flexion and extension) MR imaging and myelography. Radiology. 1998;207:391–398
  8. Zander DR, Lander PH. Positionally dependent spinal stenosis: correlation of upright flexion-extension myelography and computed tomographic myelography. Can Assoc Radiol J. 1998;49:256–261
  9. Haig AJ, Tong HC, Yamakawa KS, et al. Spinal stenosis, back pain, or no symptoms at all? (A masked study comparing radiologic and electrodiagnostic diagnoses to the clinical impression). Arch Phys Med Rehabil. 2006;87:897–903
  10. Molitor H. Somato-sensory evoked potentials in root lesions and stenosis of the spinal canal (their diagnostic significance in clinical decision making). Neurosurg Rev. 1993;16:39–44
  11. Stucki G, Daltroy L, Liang MH, et al. Measurement properties of a self administered outcome measure in lumbar spinal stenosis. Spine. 1996;21:796–803
  12. Atlas SJ, Deyo RA, van den Ancker M, et al. The Maine-Seattle back questionnaire: a 12-item disability questionnaire for evaluating patients with lumbar sciatica or stenosis (Results of a derivation and validation cohort analysis). Spine. 2003;28:1869–1876
  13. Pratt RK, Fairbank JC, Virr A. The reliability of the Shuttle Walking Test, the Swiss Spinal Stenosis Questionnaire, the Oxford Spinal Stenosis Score, and the Oswestry Disability Index in the assessment of patients with lumbar spinal stenosis. Spine. 2002;27:84–91
  14. Eskola A, Pohjolainen T, Alaranta H, et al. Calcitonin treatment in lumbar spinal stenosis: a randomized, placebo-controlled, double-blind, cross-over study with one-year follow-up. Calcif Tissue Int. 1992;50:400–403
  15. Cuckler JM, Bernini PA, Wiesel SW, et al. The use of epidural steroids in the treatment of lumbar radicular pain: a prospective, randomized, double blind study. J Bone Joint Surg Am. 1985;67:63–66
  16. Fukusaki M, Kobayashi I, Hara T, et al. Symptoms of spinal stenosis do not improve after epidural steroid injection. Clin J Pain. 1998;14:148–151
  17. Simotas AC. Nonoperative treatment for lumbar spinal stenosis. Clin Orthop Relat Res. 2001;384:153–161
  18. Mariconda M, Fava R, Gatto A, et al. Unilateral laminectomy for bilateral decompression of lumbar spinal stenosis: a prospective comparative study with conservatively treated patients. J Spinal Disord Tech. 2002;15:39–46
  19. Airaksinen O, Herno A, Turunen V, et al. Surgical outcome of 438 patients treated surgically for lumbar spinal stenosis. Spine. 1997;22:2278–2282
  20. Herno A, Airaksinen O, Saari T. Long-term results of surgical treatment of lumbar spinal stenosis. Spine. 1993;18:1471–1474
  21. Katz JN, Lipson SJ, Chang LC, et al. 10-year outcome of decompressive surgery for degenerative lumbar spinal stenosis. Spine. 1996;21:92–98
  22. Atlas SJ, Deyo RA, Keller RB, et al. The Maine Lumbar Spine Study: 1-year outcomes of surgical and nonsurgical management of lumbar spinal stenosis (Part III). Spine. 1996;21:1787–1794
  23. Atlas SJ, Keller RB, Robson D. Surgical and nonsurgical management of lumbar spinal stenosis: four-year outcomes from the Maine Lumbar Spine Study. Spine. 2000;25:556–562
  24. Malmivaara A, Slatis P, Heliovaara M, et al. Surgical or nonoperative treatment for lumbar spinal stenosis? (A randomized controlled trial). Spine. 2007;32:1–8
  25. Weinstein JN, Tosteson TD, Lurie JD, et al. Surgical versus nonsurgical therapy for lumbar spinal stenosis. N Engl J Med. 2008;358:794–810
  26. Weinstein JN, Lurie JD, Tosteson TD, et al. Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis. N Engl J Med. 2007;356:2257–2270
  27. Pearson AM, Blood EA, Lurie JD, et al: Degenerative spondylolisthesis versus spinal stenosis: does a slip matter? Spine (in press)

PII: S1040-7383(09)00070-7

doi: 10.1053/j.semss.2009.08.006

Seminars in Spine Surgery
Volume 21, Issue 4 , Pages 230-237 , December 2009

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