Spinal stenosis: Difference between revisions
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==Cause/etiology== | ==Cause/etiology== | ||
One cause is [[spondylolisthesis]]. | One cause is [[spondylolisthesis]]. | ||
==Diagnosis== | |||
A [[clinical prediction rule]] exists to help diagnose spinal stenosis based on the history and physical.<ref name="pmid18552358">{{cite journal |author=Sugioka T, Hayashino Y, Konno S, Kikuchi S, Fukuhara S |title=Predictive value of self-reported patient information for the identification of lumbar spinal stenosis |journal=Fam Pract |volume=25 |issue=4 |pages=237–44 |year=2008 |month=August |pmid=18552358 |doi=10.1093/fampra/cmn031 |url=http://fampra.oxfordjournals.org/cgi/pmidlookup?view=long&pmid=18552358 |issn=}}</ref> | |||
==Treatment== | ==Treatment== | ||
Surgery may improve outcome at two years in patients with spinal stenosis ''not from'' [[spondylolisthesis]] according to the Spine Patient Outcomes Research Trial (SPORT) [[randomized controlled trial]].<ref>Weinstein, J. N., Tosteson, T. D., Lurie, J. D., Tosteson, A. N., Blood, E., Hanscom, B., et al. (2008). [http://content.nejm.org/cgi/content/full/358/8/794 Surgical versus nonsurgical therapy for lumbar spinal stenosis], N Engl J Med, 358(8), 794-810. doi:10.1056/NEJMoa0707136. | Surgery may improve outcome at two years in patients with spinal stenosis ''not from'' [[spondylolisthesis]] according to the Spine Patient Outcomes Research Trial (SPORT) [[randomized controlled trial]].<ref>Weinstein, J. N., Tosteson, T. D., Lurie, J. D., Tosteson, A. N., Blood, E., Hanscom, B., et al. (2008). [http://content.nejm.org/cgi/content/full/358/8/794 Surgical versus nonsurgical therapy for lumbar spinal stenosis], N Engl J Med, 358(8), 794-810. doi:10.1056/NEJMoa0707136.</ref> | ||
</ref> | |||
Surgery may improve outcome at two years in patients ''with'' spondylolisthesis according to the Spine Patient Outcomes Research Trial (SPORT) [[randomized controlled trial]].<ref name="pmid17538085">{{cite journal |author=Weinstein JN, Lurie JD, Tosteson TD, ''et al'' |title=Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis |journal=N. Engl. J. Med. |volume=356 |issue=22 |pages=2257–70 |year=2007 |pmid=17538085 |doi=10.1056/NEJMoa070302 |issn=}}</ref> | Surgery may improve outcome at two years in patients ''with'' spondylolisthesis according to the Spine Patient Outcomes Research Trial (SPORT) [[randomized controlled trial]].<ref name="pmid17538085">{{cite journal |author=Weinstein JN, Lurie JD, Tosteson TD, ''et al'' |title=Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis |journal=N. Engl. J. Med. |volume=356 |issue=22 |pages=2257–70 |year=2007 |pmid=17538085 |doi=10.1056/NEJMoa070302 |issn=}}</ref> | ||
Revision as of 22:18, 27 August 2008
Spinal stenosis is "narrowing of the spinal canal."[1][2] Spinal stenosis is a cause of low back pain.
Cause/etiology
One cause is spondylolisthesis.
Diagnosis
A clinical prediction rule exists to help diagnose spinal stenosis based on the history and physical.[3]
Treatment
Surgery may improve outcome at two years in patients with spinal stenosis not from spondylolisthesis according to the Spine Patient Outcomes Research Trial (SPORT) randomized controlled trial.[4]
Surgery may improve outcome at two years in patients with spondylolisthesis according to the Spine Patient Outcomes Research Trial (SPORT) randomized controlled trial.[5]
References
- ↑ Anonymous (2024), Spinal stenosis (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Katz JN, Harris MB (February 2008). "Clinical practice. Lumbar spinal stenosis". N. Engl. J. Med. 358 (8): 818–25. DOI:10.1056/NEJMcp0708097. PMID 18287604. Research Blogging.
- ↑ Sugioka T, Hayashino Y, Konno S, Kikuchi S, Fukuhara S (August 2008). "Predictive value of self-reported patient information for the identification of lumbar spinal stenosis". Fam Pract 25 (4): 237–44. DOI:10.1093/fampra/cmn031. PMID 18552358. Research Blogging.
- ↑ Weinstein, J. N., Tosteson, T. D., Lurie, J. D., Tosteson, A. N., Blood, E., Hanscom, B., et al. (2008). Surgical versus nonsurgical therapy for lumbar spinal stenosis, N Engl J Med, 358(8), 794-810. doi:10.1056/NEJMoa0707136.
- ↑ Weinstein JN, Lurie JD, Tosteson TD, et al (2007). "Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis". N. Engl. J. Med. 356 (22): 2257–70. DOI:10.1056/NEJMoa070302. PMID 17538085. Research Blogging.