| Lumbar spinal stenosis: clinical/radiologic therapeutic evaluation in 145 patients. Conservative treatment or surgical intervention? | |
MedLine Citation:
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PMID: 8441947 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
Authors:
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D Onel; H Sari; C Dönmez |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Spine Volume: 18 ISSN: 0362-2436 ISO Abbreviation: Spine Publication Date: 1993 Feb |
Date Detail:
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Created Date: 1993-03-30 Completed Date: 1993-03-30 Revised Date: 2009-07-09 |
Medline Journal Info:
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Nlm Unique ID: 7610646 Medline TA: Spine (Phila Pa 1976) Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 291-8 Citation Subset: IM |
Affiliation:
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Department of Physical Medicine and Rehabilitation, Cerrahpasa Medical Faculty, University of Istanbul, Turkey. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Calcitonin
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therapeutic use Female Humans Low Back Pain / etiology Male 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 |
| Chemical | |
Reg. No./Substance:
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9007-12-9/Calcitonin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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