Document Detail


The effect of decompression on the natural course of spinal stenosis. A comparison of surgically treated and untreated patients.
MedLine Citation:
PMID:  1862399     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The clinical course of 19 untreated patients with spinal stenosis (mean age, 60 years) was compared with that of 44 patients treated surgically (mean age, 65 years). The time of follow-up was 31 and 53 months, respectively. About 80% of the patients had neurogenic intermittent claudication. In the follow-up, one third of the treated and one half of the untreated patients still had neurogenic claudication. By visual analogue-scale estimation, 60% of those treated surgically and 33% of the untreated patients felt better. Fifty-eight percent of the untreated patients were unchanged. Neurophysiologic changes showed progression in almost all cases; it was more pronounced in the treated patients. No proof of severe deterioration was found in the untreated patients, and observation for 2-3 years seems to be a good alternative to surgery.
Authors:
K E Johnsson; A Udén; I Rosén
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Spine     Volume:  16     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1991 Jun 
Date Detail:
Created Date:  1991-09-05     Completed Date:  1991-09-05     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:  615-9     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, Malmö General Hospital, Lund University, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Aged
Female
Follow-Up Studies
Humans
Intermittent Claudication / etiology
Laminectomy*
Male
Middle Aged
Neurologic Examination
Pain Measurement
Spinal Stenosis / complications,  epidemiology,  surgery*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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