Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Spinal stenosis surgery
Introduction
Overview
Overview
If the pain is persistent and does not respond to these measures, surgery is considered to relieve the pressure on the nerves or spinal cord. Surgery is performed on the neck or lower back, depending on the site of the nerve compression. Regarding indications for laminectomy, a complicated, nonrandomized analysis of a randomized controlled trial of laminectomy\, in patients with:neurogenic claudication or radicular leg pain with associated neurologic signs, spinal stenosis shown on cross-sectional imaging, and degenerative spondylolisthesis shown on lateral radiographs obtained with the patient in a standing position. The patients had had persistent symptoms for at least 12 weeks and had been confirmed as surgical candidates by their physicians. Patients with adjacent levels of stenosis were eligible; patients with spondylolysis and isthmic spondylolisthesis were not.”found that patients: treated surgically showed substantially greater improvement in pain and function during a period of 2 years than patients treated nonsurgically.
Surgery
Surgery
If the pain is persistent and does not respond to these measures, surgery is considered to relieve the pressure on the nerves or spinal cord. Surgery is performed on the neck or lower back, depending on the site of the nerve compression.
Regarding indications for laminectomy, a complicated, nonrandomized analysis of a randomized controlled trial of laminectomy[1], in patients with:
- “neurogenic claudication or radicular leg pain with associated neurologic signs, spinal stenosis shown on cross-sectional imaging, and degenerative spondylolisthesis shown on lateral radiographs obtained with the patient in a standing position. The patients had had persistent symptoms for at least 12 weeks and had been confirmed as surgical candidates by their physicians. Patients with adjacent levels of stenosis were eligible; patients with spondylolysis and isthmic spondylolisthesis were not.”
found that patients:
- “treated surgically showed substantially greater improvement in pain and function during a period of 2 years than patients treated nonsurgically.”
References
References
- ↑ 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.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]