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Ten-Year Clinical Outcomes After Decompression Surgery for Lumbar Spinal Stenosis: The Impact of Preoperative Modic Changes.


ABSTRACT: Study DesignRetrospective Cohort Study.ObjectiveModic changes (MCs) have been associated with low back pain; however, their prognostic value in surgical outcomes-particularly in patients with lumbar spinal stenosis (LSS) treated with decompression alone-remains unclear. Few studies have investigated the progression and long-term clinical impact of MCs. This study aimed to evaluate the 10-year progression of MCs and their association with clinical outcomes following posterior decompression surgery for LSS.MethodsThis study included 62 patients who underwent posterior decompression for LSS and completed a 10-year follow-up with MRI and clinical assessments. MCs and disc degeneration were evaluated using standardized MRI criteria. Japanese Orthopaedic Association (JOA) scores and recovery rat

SUBMITTER: Watanabe K 

PROVIDER: S-EPMC12264239 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature