Surgical versus nonoperative treatment for lumbar spinal stenosis four-year results of the Spine Patient Outcomes Research Trial.

ABSTRACT:

Study design

Randomized trial and concurrent observational cohort study.

Objective

To compare 4 year outcomes of surgery to nonoperative care for spinal stenosis.

Summary of background data

Surgery for spinal stenosis has been shown to be more effective compared to nonoperative treatment over 2 years, but longer-term data have not been analyzed.

Methods

Surgical candidates from 13 centers in 11 US states with at least 12 weeks of symptoms and confirmatory imaging were enrolled in a randomized cohort (RC) or observational cohort (OC). Treatment was standard decompressive laminectomy or standard nonoperative care. Primary outcomes were SF-36 bodily pain (BP) and physical function scales and the modified Oswestry Disability index assessed at 6 weeks, 3 months, 6 m

SUBMITTER: Weinstein JN 

PROVIDER: S-EPMC3392200 | biostudies-literature | 2010 Jun

REPOSITORIES: biostudies-literature