• Users Online: 358
  • Print this page
  • Email this page
REVIEW ARTICLE
Year : 2020  |  Volume : 17  |  Issue : 2  |  Page : 117-121

Spinal stenosis: What outcome should be expected? Review the latest evidence using the assessment of multiple systematic reviews appraisal tool (AMSTAR)


1 Department of Surgery, Hamurabi Medical College, University of Babylon, Hilla, Iraq
2 Department Orthopaedics, Wythenshawe Hospital, Manchester, England, UK

Correspondence Address:
Jameel Tahseen Mehsen
Department of Surgery, Hamurabi Medical College, University of Babylon, Hilla
Iraq
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/MJBL.MJBL_16_20

Get Permissions

Lumbar spine stenosis is a degenerative osteoarthritic change. The common presentations are pain in the lower extremities, weakness, numbness, and neurogenic claudication. The management of lumbar spine stenosis is controversial. The aim of this review is to evaluate the best evidence-based management for the patients with moderate severity degenerative lumbar spine stenosis with radiculopathy. The review included the evidence-based reports relevant to lumbar spinal stenosis and their management (nonsurgical and surgical), with no restriction on patient's age or gender. The exclusion criteria were all case series, cohort, and Level V evidence. The relevant references of the systematic reviews and meta-analysis were considered. The quality of the literature was performed using the assessment of multiple systematic reviews appraisal tool. Six systematic reviews were considered in our review for further analysis. The majority of the reports showed the preferable outcome of the surgical intervention over conservative therapy regarding leg pain and disability. The complication rate from decompressive surgical intervention was estimated at 18%. Minimal invasive surgery had a preferable outcome in preventing iatrogenic spondylolisthesis. The epidural injections were effective. Calcitonin therapy had no significance. Similarly, there was no supportive evidence for physical therapy regarding the long-term outcome. The management decision depends on the severity of the stenosis through the clinical and the radiological finding to improve the outcome


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed146    
    Printed6    
    Emailed0    
    PDF Downloaded37    
    Comments [Add]    

Recommend this journal