Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis.

ABSTRACT:

Background

Management of degenerative spondylolisthesis with spinal stenosis is controversial. Surgery is widely used, but its effectiveness in comparison with that of nonsurgical treatment has not been demonstrated in controlled trials.

Methods

Surgical candidates from 13 centers in 11 U.S. states who had at least 12 weeks of symptoms and image-confirmed degenerative spondylolisthesis were offered enrollment in a randomized cohort or an observational cohort. Treatment was standard decompressive laminectomy (with or without fusion) or usual nonsurgical care. The primary outcome measures were the Medical Outcomes Study 36-Item Short-Form General Health Survey (SF-36) bodily pain and physical function scores (100-point scales, with higher scores indicating less severe symptoms

SUBMITTER: Weinstein JN 

PROVIDER: S-EPMC2553804 | biostudies-literature | 2007 May

REPOSITORIES: biostudies-literature