Spinal stenosis

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Spinal stenosis is "narrowing of the spinal canal."[1][2] Spinal stenosis is a cause of low back pain.


Contents

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

  1. ↑ Anonymous, (2009) Spinal stenosis (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. ↑ 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.
  3. ↑ 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.
  4. ↑ 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. Template:Doi:10.1056/NEJMoa0707136.
  5. ↑ 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.
  6. ↑ 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.
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