Document Detail

Lumbar spinal stenosis: clinical/radiologic therapeutic evaluation in 145 patients. Conservative treatment or surgical intervention?
MedLine Citation:
PMID:  8441947     Owner:  NLM     Status:  MEDLINE    
In this prospective study, 145 patients with lumbar spinal stenosis were evaluated for clinical signs and radiologic findings and conservative treatment results. Clinical parameters such as pain on motion, lumbar range of motion, straight leg raising test, deep tendon reflexes, dermatomal sensations, motor functions and neurogenic claudication distances were assessed at admission and were compared after a conservative treatment program was completed. A conservative treatment program consisted of physical therapy (infrared heating, ultrasonic diathermy and active lumbar exercises) and salmon calcitonin. Pain on motion (100%), restriction of extension (77%), limited straight leg raising test (23%), neurogenic claudication (100%), dermatomal sensory impairment (47%), motor deficit (29%), and reflex deficit (40%) were observed in the patients. All aforementioned disturbances except reflex deficits improved by the conservative treatment and results were statistically significant. The authors conclude that this conservative treatment should be the treatment of choice in elderly patients and in those patients without clinical surgical indications.
D Onel; H Sari; C Dönmez
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Spine     Volume:  18     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1993 Feb 
Date Detail:
Created Date:  1993-03-30     Completed Date:  1993-03-30     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  291-8     Citation Subset:  IM    
Department of Physical Medicine and Rehabilitation, Cerrahpasa Medical Faculty, University of Istanbul, Turkey.
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MeSH Terms
Calcitonin / therapeutic use
Low Back Pain / etiology
Middle Aged
Movement / physiology
Muscles / physiology
Physical Therapy Modalities
Prospective Studies
Reflex, Stretch / physiology
Sensation Disorders / etiology,  physiopathology
Spinal Stenosis / complications,  physiopathology,  radiography,  therapy*
Treatment Outcome
Walking / physiology
Reg. No./Substance:

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