Spinal stenosis: Difference between revisions
Jump to navigation
Jump to search
imported>Robert Badgett |
imported>Robert Badgett |
||
| Line 10: | Line 10: | ||
==Treatment== | ==Treatment== | ||
Surgery may improve outcome at two years in patients with spinal stenosis ''not from'' [[spondylolisthesis]] according to the Spine Patient Outcomes Research Trial (SPORT) [[randomized controlled trial]].<ref>Weinstein, J. N., Tosteson, T. D., Lurie, J. D., Tosteson, A. N., Blood, E., Hanscom, B., et al. (2008). [http://content.nejm.org/cgi/content/full/358/8/794 Surgical versus nonsurgical therapy for lumbar spinal stenosis], N Engl J Med, 358(8), 794-810. {{doi:10.1056/NEJMoa0707136}}.</ref> | Surgery may improve outcome at two years in patients with spinal stenosis ''not from'' [[spondylolisthesis]] according to the Spine Patient Outcomes Research Trial (SPORT) [[randomized controlled trial]].<ref>Weinstein, J. N., Tosteson, T. D., Lurie, J. D., Tosteson, A. N., Blood, E., Hanscom, B., et al. (2008). [http://content.nejm.org/cgi/content/full/358/8/794 Surgical versus nonsurgical therapy for lumbar spinal stenosis], N Engl J Med, 358(8), 794-810. {{doi:10.1056/NEJMoa0707136}}.</ref> This may be cost-effective.<ref name="pmid19075203">{{cite journal |author=Tosteson AN, Lurie JD, Tosteson TD, ''et al'' |title=Surgical treatment of spinal stenosis with and without degenerative spondylolisthesis: cost-effectiveness after 2 years |journal=Ann. Intern. Med. |volume=149 |issue=12 |pages=845–53 |year=2008 |month=December |pmid=19075203 |doi= |url=http://www.annals.org/cgi/pmidlookup?view=long&pmid=19075203 |issn=}}</ref> | ||
Surgery may improve outcome at two years in patients ''with'' spondylolisthesis according to the Spine Patient Outcomes Research Trial (SPORT) [[randomized controlled trial]].<ref name="pmid17538085">{{cite journal |author=Weinstein JN, Lurie JD, Tosteson TD, ''et al'' |title=Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis |journal=N. Engl. J. Med. |volume=356 |issue=22 |pages=2257–70 |year=2007|url=http://content.nejm.org/cgi/content/full/356/22/2257 |pmid=17538085 |doi=10.1056/NEJMoa070302 |issn=}}</ref> | Surgery may improve outcome at two years in patients ''with'' spondylolisthesis according to the Spine Patient Outcomes Research Trial (SPORT) [[randomized controlled trial]].<ref name="pmid17538085">{{cite journal |author=Weinstein JN, Lurie JD, Tosteson TD, ''et al'' |title=Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis |journal=N. Engl. J. Med. |volume=356 |issue=22 |pages=2257–70 |year=2007|url=http://content.nejm.org/cgi/content/full/356/22/2257 |pmid=17538085 |doi=10.1056/NEJMoa070302 |issn=}}</ref> | ||
Revision as of 17:19, 19 February 2009
Spinal stenosis is "narrowing of the spinal canal."[1][2] Spinal stenosis is a cause of low back pain.
Cause/etiology
One cause is spondylolisthesis.
Diagnosis
A clinical prediction rule exists to help diagnose spinal stenosis based on the history and physical.[3]
Treatment
Surgery may improve outcome at two years in patients with spinal stenosis not from spondylolisthesis according to the Spine Patient Outcomes Research Trial (SPORT) randomized controlled trial.[4] This may be cost-effective.[5]
Surgery may improve outcome at two years in patients with spondylolisthesis according to the Spine Patient Outcomes Research Trial (SPORT) randomized controlled trial.[6]
References
- ↑ Anonymous (2024), Spinal stenosis (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Katz JN, Harris MB (February 2008). "Clinical practice. Lumbar spinal stenosis". N. Engl. J. Med. 358 (8): 818–25. DOI:10.1056/NEJMcp0708097. PMID 18287604. Research Blogging.
- ↑ Sugioka T, Hayashino Y, Konno S, Kikuchi S, Fukuhara S (August 2008). "Predictive value of self-reported patient information for the identification of lumbar spinal stenosis". Fam Pract 25 (4): 237–44. DOI:10.1093/fampra/cmn031. PMID 18552358. Research Blogging.
- ↑ Weinstein, J. N., Tosteson, T. D., Lurie, J. D., Tosteson, A. N., Blood, E., Hanscom, B., et al. (2008). Surgical versus nonsurgical therapy for lumbar spinal stenosis, N Engl J Med, 358(8), 794-810. {{doi:10.1056/NEJMoa0707136}}.
- ↑ Tosteson AN, Lurie JD, Tosteson TD, et al (December 2008). "Surgical treatment of spinal stenosis with and without degenerative spondylolisthesis: cost-effectiveness after 2 years". Ann. Intern. Med. 149 (12): 845–53. PMID 19075203. [e]
- ↑ Weinstein JN, Lurie JD, Tosteson TD, et al (2007). "Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis". N. Engl. J. Med. 356 (22): 2257–70. DOI:10.1056/NEJMoa070302. PMID 17538085. Research Blogging.