Surgical options for lumbar spinal stenosis Machado et al 2016 This document is licensed under a Creative Commons Attribution NonCommercialNoDerivatives 40 International License httpcreativecommonsorglicensesbyncnd40 ID: 769527
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Surgical options for lumbar spinal stenosis Machado et al (2016) This document is licensed under a Creative Commons Attribution NonCommercialNoDerivatives 4.0 International License: http://creativecommons.org/licenses/by-nc-nd/4.0/ That means this document can be used and shared as long as IWH is credited as the source, the contents are not modified, and the contents are used for non-commercial purposes. If you wish to modify and/or use the contents for commercial purposes, please contact ip@iwh.on.ca.
Overview of the study Objectives: To determinate the efficacy of surgery for patients with symptomatic lumbar spine stenosis and to compare the commonly performed surgical techniquesMethods: Evidence current up to 16 June 2016Participants: Adults with symptomatic degenerative lumbar spine stenosisIntervention: Surgical techniques for lumbar spine stenosisOutcomes:Primary: Pain, physical function, quality of life, recoverySecondary: Perioperative blood loss, operation time, length of hospital stay, reoperation rate, costs Surgical options for lumbar spinal stenosis Machado et al (2016)
Results & Conclusions 24 trials (2352 participants) Intervention versus comparatorEvidence Quality of evidence Decompression alone versus decompression plus fusion No extra benefit in pain, disability and walking ability at both short and long-term Very low - Low Decompression versus interspinous spacerNo difference in pain, disability, function and quality of life at both short and long-termModerateDecompression plus fusion versus interspinous spacerInterspinous spacer more effective in improving disability, but not pain or quality of lifeLow – ModerateDecompression versus split-decompressionNo difference in pain and disabilityLow - ModerateDecompression versus endoscopic decompressionLess effective for disability reduction in short-term and as effective in the long-termVery low - LowMore perioperative blood loss and longer hospital stayLow Surgical options for lumbar spinal stenosis Machado et al (2016) Decompression plus fusion and interspinous process spacers have not been shown to be superior to conventional decompression alone.