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European Spine Journal

, Volume 26, Issue 2, pp 324–335 | Cite as

The clinical course of pain and disability following surgery for spinal stenosis: a systematic review and meta-analysis of cohort studies

  • Carolina G. FritschEmail author
  • Manuela L. Ferreira
  • Christopher G. Maher
  • Robert D. Herbert
  • Rafael Z. Pinto
  • Bart Koes
  • Paulo H. Ferreira
Review Article

Abstract

Purpose

The aim of this study was to assess the clinical course of pain and disability in patients with lumbar spinal stenosis following surgery.

Methods

Electronic databases were searched to July 2014 and only prospective cohort studies assessing pain or disability following surgery for lumbar spinal stenosis were included. Two independent reviewers extracted data and assessed study quality. Estimates of pain and disability (expressed as 0–100 point scales) as well as 95 % confidence intervals were obtained using meta-regression. The effect of time was clearly non-linear, so it was modelled using fractional polynomial regression.

Results

From a total of 10,741 titles, 69 publications (64 cohort studies) were included in the review. Pooled estimate for pain pre-operatively was 63.4 (95 % CI 56.5; 70.3), reducing to 33.1 (95 % CI 24.2; 41.9) at 3 months and 19.2 points (95 % CI 9.2; 29.3) at 60 months. Pre-operative estimates of disability were 36.9 (95 % CI 32.6; 41.3), reducing to 16.3 (95 % CI 11.8; 20.9) at 3 months and 12.4 (95 % CI 7.7; 17.2) at 60 months.

Conclusion

Patients with lumbar spinal stenosis experience rapid symptom reduction after surgery, but should still expect to experience mild-to-moderate pain and disability 60 months later.

Keywords

Lumbar spinal stenosis Meta-analysis Prognosis Surgery 

Notes

Acknowledgments

MLF is a Sydney Medical Foundation Fellow/Sydney Medical School, CGM is supported by the Australian Research Council, and RDH is supported by the National Health and Medical Research Council of Australia.

Compliance with ethical standards

Conflict of interest

All authors have no conflict of interest. Authors have full control of all primary data and agree to allow the journal to review their data if requested.

Funding

None.

Supplementary material

586_2016_4668_MOESM1_ESM.docx (17 kb)
Supplementary material 1 (DOCX 17 kb)
586_2016_4668_MOESM2_ESM.docx (24 kb)
Supplementary material 2 (DOCX 23 kb)

References

  1. 1.
    Butt S, Saifuddin A (2005) The imaging of lumbar spondylolisthesis. Clin Radiol 60(5):533–546. doi: 10.1016/j.crad.2004.07.013 CrossRefPubMedGoogle Scholar
  2. 2.
    Comer CM, Redmond AC, Bird HA, Conaghan PG (2009) Assessment and management of neurogenic claudication associated with lumbar spinal stenosis in a UK primary care musculoskeletal service: a survey of current practice among physiotherapists. BMC Musculoskel Disord 10:121. doi: 10.1186/1471-2474-10-121 CrossRefGoogle Scholar
  3. 3.
    Winter CC, Brandes M, Muller C, Schubert T, Ringling M, Hillmann A, Rosenbaum D, Schulte TL (2010) Walking ability during daily life in patients with osteoarthritis of the knee or the hip and lumbar spinal stenosis: a cross sectional study. BMC Musculoskelet Disord 11:233. doi: 10.1186/1471-2474-11-233 CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Otani K, Kikuchi S, Yabuki S, Igarashi T, Nikaido T, Watanabe K, Konno S (2013) Lumbar spinal stenosis has a negative impact on quality of life compared with other comorbidities: an epidemiological cross-sectional study of 1862 community-dwelling individuals. Sci World J 2013:590652. doi: 10.1155/2013/590652 CrossRefGoogle Scholar
  5. 5.
    Ishimoto Y, Yoshimura N, Muraki S, Yamada H, Nagata K, Hashizume H, Takiguchi N, Minamide A, Oka H, Kawaguchi H, Nakamura K, Akune T, Yoshida M (2013) Associations between radiographic lumbar spinal stenosis and clinical symptoms in the general population: the Wakayama Spine Study. Osteoarthr Cartil OARS 21(6):783–788. doi: 10.1016/j.joca.2013.02.656 CrossRefGoogle Scholar
  6. 6.
    Deyo RA, Mirza SK, Martin BI, Kreuter W, Goodman DC, Jarvik JG (2010) Trends, major medical complications, and charges associated with surgery for lumbar spinal stenosis in older adults. JAMA 303(13):1259–1265. doi: 10.1001/jama.2010.338 CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Harris IA, Dao AT (2009) Trends of spinal fusion surgery in Australia: 1997–2006. ANZ J Surg 79(11):783–788. doi: 10.1111/j.1445-2197.2009.05095.x CrossRefPubMedGoogle Scholar
  8. 8.
    Machado G, Ferreira P, Harris I, Pinheiro M, Koes B, van Tulder M, Rzewuska M, Maher C, Ferreira M (2015) Effectiveness of surgery for lumbar spinal stenosis: a systematic review and meta-analysis. PLoS One 10(3):e0122800CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Amundsen T, Weber H, Lilleas F, Nordal HJ, Abdelnoor M, Magnaes B (1995) Lumbar spinal stenosis. Clinical and radiologic features. Spine (Phila Pa 1976) 20(10):1178–1186CrossRefGoogle Scholar
  10. 10.
    Lohman CM, Tallroth K, Kettunen JA, Lindgren KA (2006) Comparison of radiologic signs and clinical symptoms of spinal stenosis. Spine (Phila Pa 1976) 31(16):1834–1840. doi: 10.1097/01.brs.0000227370.65573.ac CrossRefGoogle Scholar
  11. 11.
    Gunzburg R, Keller TS, Szpalski M, Vandeputte K, Spratt KF (2003) A prospective study on CT scan outcomes after conservative decompression surgery for lumbar spinal stenosis. J Spinal Disord Tech 16(3):261–267CrossRefPubMedGoogle Scholar
  12. 12.
    Altman DG (2001) Systematic reviews of evaluations of prognostic variables. BMJ 323(7306):224–228CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Menezes CL, Maher CG, Hancock MJ, McAuley JH, Herbert RD, Costa LO (2012) The prognosis of acute and persistent low-back pain: a meta-analysis. CMAJ 184(11):E613–E624. doi: 10.1503/cmaj.111271 CrossRefGoogle Scholar
  14. 14.
    Royston P, Sauerbrei W (2008) Multivariable model-building: a pragmatic approach to regression analysis based on fractional polynomials for modelling continuous variables. Wiley, ChichesterCrossRefGoogle Scholar
  15. 15.
    Atlas S, Deyo R, Keller R, Chapin A, Patrick D, Long J, Singer D (1996) The maine lumbar spine study, Part II. 1-year outcomes of surgical and nonsurgical management of sciatica. Spine 21(15):1777–1786CrossRefPubMedGoogle Scholar
  16. 16.
    Atlas SJ, Keller RB, Robson D, Deyo RA, Singer DE (2000) Surgical and nonsurgical management of lumbar spinal stenosis: four-year outcomes from the maine lumbar spine study. Spine 25(5):556–562CrossRefPubMedGoogle Scholar
  17. 17.
    Atlas SJ, Keller RB, Wu YA, Deyo RA, Singer DE (2005) Long-term outcomes of surgical and nonsurgical management of lumbar spinal stenosis: 8 to 10 year results from the maine lumbar spine study. Spine 30(8):936–943CrossRefPubMedGoogle Scholar
  18. 18.
    Richter A, Schutz C, Hauck M, Halm H (2010) Does an interspinous device (Coflex) improve the outcome of decompressive surgery in lumbar spinal stenosis? One-year follow up of a prospective case control study of 60 patients. Eur Spine J 19(2):283–289CrossRefPubMedGoogle Scholar
  19. 19.
    Richter A, Halm HF, Hauck M, Quante M (2014) Two-year follow-up after decompressive surgery with and without implantation of an interspinous device for lumbar spinal stenosis: a prospective controlled study. J Spinal Disord Tech 27(6):336–341CrossRefPubMedGoogle Scholar
  20. 20.
    Schaeren S, Broger I, Jeanneret B (2008) Minimum four-year follow-up of spinal stenosis with degenerative spondylolisthesis treated with decompression and dynamic stabilization. Spine 33(18):E636–E642CrossRefPubMedGoogle Scholar
  21. 21.
    Schnake KJ, Schaeren S, Jeanneret B (2006) Dynamic stabilization in addition to decompression for lumbar spinal stenosis with degenerative spondylolisthesis. Spine 31(4):442–449CrossRefPubMedGoogle Scholar
  22. 22.
    Bednar DA (2002) Surgical management of lumbar degenerative spinal stenosis with spondylolisthesis via posterior reduction with minimal laminectomy. J Spinal Disord 15(2):105–109CrossRefGoogle Scholar
  23. 23.
    Ha KY, Seo JY, Kwon SE, Son IN, Kim KW, Kim YH (2013) Posterior dynamic stabilization in the treatment of degenerative lumbar stenosis: validity of its rationale. J Neurosurg Spine 18(1):24–31. doi: 10.3171/2012.9.SPINE12392 CrossRefPubMedGoogle Scholar
  24. 24.
    Forsth P, Olafsson G, Carlsson T, Frost A, Borgstrom F, Fritzell P, Ohagen P, Michaelsson K, Sanden B (2016) A randomized, controlled trial of fusion surgery for lumbar spinal stenosis. N Engl J Med 374(15):1413–1423. doi: 10.1056/NEJMoa1513721 CrossRefPubMedGoogle Scholar
  25. 25.
    Ammendolia C, Stuber KJ, Rok E, Rampersaud R, Kennedy CA, Pennick V, Steenstra IA, de Bruin LK, Furlan AD (2013) Nonoperative treatment for lumbar spinal stenosis with neurogenic claudication. Cochrane Database Syst Rev 8:CD010712. doi: 10.1002/14651858.CD010712 Google Scholar
  26. 26.
    Macedo LG, Hum A, Kuleba L, Mo J, Truong L, Yeung M, Battie MC (2013) Physical therapy interventions for degenerative lumbar spinal stenosis: a systematic review. Phys Ther 93(12):1646–1660. doi: 10.2522/ptj.20120379 CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Taylor VM, Deyo RA, Cherkin DC, Kreuter W (1994) Low back pain hospitalization. Recent US trends and regional variations. Spine (Phila Pa 1976) 19(11):1207–1212CrossRefGoogle Scholar
  28. 28.
    Deyo RA, Gray DT, Kreuter W, Mirza S, Martin BI (2005) US trends in lumbar fusion surgery for degenerative conditions. Spine (Phila Pa 1976) 30(12):1441–1445CrossRefGoogle Scholar
  29. 29.
    Deyo RA, Martin BI, Kreuter W, Jarvik JG, Angier H, Mirza SK (2011) Revision surgery following operations for lumbar stenosis. J Bone Jt Surg 93(21):1979–1986. doi: 10.2106/JBJS.J.01292 CrossRefGoogle Scholar
  30. 30.
    Aalto TJ, Malmivaara A, Kovacs F, Herno A, Alen M, Salmi L, Kroger H, Andrade J, Jimenez R, Tapaninaho A, Turunen V, Savolainen S, Airaksinen O (2006) Preoperative predictors for postoperative clinical outcome in lumbar spinal stenosis: systematic review. Spine 31(18):E648–E663. doi: 10.1097/01.brs.0000231727.88477.da CrossRefPubMedGoogle Scholar
  31. 31.
    McKillop AB, Carroll LJ, Battie MC (2014) Depression as a prognostic factor of lumbar spinal stenosis: a systematic review. Spine J 14(5):837–846. doi: 10.1016/j.spinee.2013.09.052 CrossRefPubMedGoogle Scholar
  32. 32.
    Knutsson B, Michaelsson K, Sanden B (2013) Obesity is associated with inferior results after surgery for lumbar spinal stenosis: a study of 2633 patients from the Swedish spine register. Spine 38(5):435–441CrossRefPubMedGoogle Scholar
  33. 33.
    Aleem IS, Rampersaud YR (2014) Elderly patients have similar outcomes compared to younger patients after minimally invasive surgery for spinal stenosis. Clin Orthop 472:1824–1830CrossRefPubMedGoogle Scholar
  34. 34.
    Anjarwalla NK, Brown LC, McGregor AH (2007) The outcome of spinal decompression surgery 5 years on. Eur Spine J 16:1842–1847CrossRefPubMedPubMedCentralGoogle Scholar
  35. 35.
    Athiviraham A, Yen D (2007) Is spinal stenosis better treated surgically or nonsurgically? Clin Orthop 458:90–93PubMedGoogle Scholar
  36. 36.
    Beyer F, Yagdiran A, Neu P, Kaulhausen T, Eysel P, Sobottke R (2013) Percutaneous interspinous spacer versus open decompression: a 2-year follow-up of clinical outcome and quality of life. Eur Spine J 22:2015–2021CrossRefPubMedPubMedCentralGoogle Scholar
  37. 37.
    Bhadra AK, Raman AS, Tucker S, Noordeen HH (2008) Interspinous implant in lumbar spinal stenosis: a prospective cohort. Eur J Orthop Surg Tr 18:489–493CrossRefGoogle Scholar
  38. 38.
    Castro-Menendez M, Bravo-Ricoy JA, Casal-Moro R, Hernandez-Blanco M, Jorge-Barreiro FJ (2009) Midterm outcome after microendoscopic decompressive laminotomy for lumbar spinal stenosis: 4-year prospective study. Neurosurgery 65:100–110CrossRefPubMedGoogle Scholar
  39. 39.
    Cavagna R, Tournier C, Aunoble S, Bouler JM, Antonietti P, Ronai M et al (2008) Lumbar decompression and fusion in elderly osteoporotic patients: a prospective study using less rigid titanium rod fixation. J Spinal Disord Tech 21:86–91CrossRefPubMedGoogle Scholar
  40. 40.
    Cavusoglu H, Turkmenogulu O, Kaya RA, Tuncer C, Colak I, Sahin Y et al (2007) Efficacy of unilateral laminectomy for bilateral decompression in lumbar spinal stenosis. Turk Neurosurg 17:100–108PubMedGoogle Scholar
  41. 41.
    Chopko BW (2013) Long-term results of percutaneous lumbar decompression for LSS: two-year outcomes. Clin J Pain 29(11):939–943CrossRefPubMedGoogle Scholar
  42. 42.
    Colak A, Topuz K, Kutlay M, Kaya S, Simsek H, Cetinkal A et al (2008) A less invasive surgical approach in the lumbar lateral recess stenosis: direct approach to the medial wall of the pedicle. Eur Spine J 17:1745–1751CrossRefPubMedPubMedCentralGoogle Scholar
  43. 43.
    Datta G, Gnanalingham KK, Peterson D, Mendoza N, O'Neill K, Van Dellen J et al (2004) Back pain and disability after lumbar laminectomy: is there a relationship to muscle retraction? Neurosurgery 54:1413–1420CrossRefPubMedGoogle Scholar
  44. 44.
    Deer TR, Kim CK, Bowman RG, Ranson MT, Yee BS (2012) Study of percutaneous lumbar decompression and treatment algorithm for patients suffering from neurogenic claudication. Pain Physician 15:451–460PubMedGoogle Scholar
  45. 45.
    Delank KS, Eysel P, Zollner J, Drees P, Nafe B, Rompe JD (2002) Undercutting decompression versus laminectomy. Clinical and radiological results of a prospective controlled trial. Orthopade 31:1048–1057CrossRefPubMedGoogle Scholar
  46. 46.
    El-Abed K, Barakat M, Ainscow D (2011) Multilevel lumbar spinal stenosis decompression: midterm outcome using a modified hinge osteotomy technique. J Spinal Disord Tech 24:376–380CrossRefPubMedGoogle Scholar
  47. 47.
    Endres S (2011) Instrumented posterolateral fusion - clinical and functional outcome in elderly patients. Ger Med Sci 9:Doc09Google Scholar
  48. 48.
    Frazier DD, Lipson SJ, Fossel AH, Katz JN (1997) Associations between spinal deformity and outcomes after decompression for spinal stenosis. Spine 22:2025–2029CrossRefPubMedGoogle Scholar
  49. 49.
    Fu YS, Zeng BF, Xu JG (2008) Long-term outcomes of two different decompressive techniques for lumbar spinal stenosis. Spine 33:514–518CrossRefPubMedGoogle Scholar
  50. 50.
    Greiner-Perth R, Boehm H, Allam Y, El-Saghir H (2004) A less invasive approach technique for operative treatment of lumbar canal stenosis. Technique and preliminary results. Zentralbl Neurochir 65:185–190CrossRefPubMedGoogle Scholar
  51. 51.
    Haro H, Maekawa S, Hamada Y (2008) Prospective analysis of clinical evaluation and self-assessment by patients after decompression surgery for degenerative lumbar canal stenosis. Spine J 8:380–384CrossRefPubMedGoogle Scholar
  52. 52.
    Herno A, Airaksinen O, Saari T (1993) Long-term results of surgical treatment of lumbar spinal stenosis. Spine 18:1471–1474CrossRefPubMedGoogle Scholar
  53. 53.
    Ikuta K, Tono O, Oga M (2008) Clinical outcome of microendoscopic posterior decompression for spinal stenosis associated with degenerative spondylolisthesis–minimum 2-year outcome of 37 patients. Minim Invasive Neurosurg 51:267–271CrossRefPubMedGoogle Scholar
  54. 54.
    Jakola AS, Sorlie A, Gulati S, Nygaard OP, Lydersen S, Solberg T (2010) Clinical outcomes and safety assessment in elderly patients undergoing decompressive laminectomy for lumbar spinal stenosis: a prospective study. BMC Surg 10:34CrossRefPubMedPubMedCentralGoogle Scholar
  55. 55.
    Kaner T, Sasani M, Oktenoglu T, Cosar M, Ozer AF (2010) Clinical outcomes after posterior dynamic transpedicular stabilization with limited lumbar discectomy: Carragee classification system for lumbar disc herniations. SAS Journal 4:92–97CrossRefPubMedPubMedCentralGoogle Scholar
  56. 56.
    Kim HJ, Lee HM, Chun HJ, Kang KT, Kim HS, Park JO et al (2009) Restoration of bone turnover rate after decompression surgery in patients with symptomatic lumbar spinal stenosis: preliminary report. Spine 34:E635–E639CrossRefPubMedGoogle Scholar
  57. 57.
    Kim HY, Choi BW (2013) Change of radiological parameters after interspinous implantation (X-stop®) in degenerative spinal stenosis. Eur J Orthop Surg Trauma 23:281–285CrossRefGoogle Scholar
  58. 58.
    Komp M, Hahn P, Merk H, Godolias G, Ruetten S (2011) Bilateral operation of lumbar degenerative central spinal stenosis in full-endoscopic interlaminar technique with unilateral approach: prospective 2-year results of 74 patients. J Spinal Disord Tech 24:281–287CrossRefPubMedGoogle Scholar
  59. 59.
    Kong DS, Kim ES, Eoh W (2007) One-year outcome evaluation after interspinous implantation for degenerative spinal stenosis with segmental instability. J Korean Med Sci 22:330–335CrossRefPubMedPubMedCentralGoogle Scholar
  60. 60.
    Kuchta J, Sobottke R, Eysel P, Simons P (2009) Two-year results of interspinous spacer (X-Stop) implantation in 175 patients with neurologic intermittent claudication due to lumbar spinal stenosis. Eur Spine J 18:823–829CrossRefPubMedPubMedCentralGoogle Scholar
  61. 61.
    Mannion RJ, Guilfoyle MR, Efendy J, Nowitzke AM, Laing RJ, Wood MJ (2012) Minimally invasive lumbar decompression: long-term outcome, morbidity, and the learning curve from the first 50 cases. J Spinal Disord Tech 25:47–51CrossRefPubMedGoogle Scholar
  62. 62.
    Mekhail N, Costandi S, Abraham B, Samuel SW (2012) Functional and patient-reported outcomes in symptomatic lumbar spinal stenosis following percutaneous decompression. Pain Pract 12:417–425CrossRefPubMedGoogle Scholar
  63. 63.
    Mekhail N, Vallejo R, Coleman MH, Benyamin RM (2012) Long-term results of percutaneous lumbar decompression mild for spinal stenosis. Pain Pract 12:184–193CrossRefPubMedGoogle Scholar
  64. 64.
    Ng LC, Tafazal S, Sell P (2007) The effect of duration of symptoms on standard outcome measures in the surgical treatment of spinal stenosis. Eur Spine J 16:199–206CrossRefPubMedGoogle Scholar
  65. 65.
    Ohtori S, Yamashita M, Yamauchi K, Inoue G, Koshi T, Suzuki M et al (2010) Change in Modic type 1 and 2 signals after posterolateral fusion surgery. Spine 35:1231–1235CrossRefPubMedGoogle Scholar
  66. 66.
    Paker N, Turkmen C, Bugdayci D, Tekdos D, Erbil M (2005) Comparison of conservative and surgical treatment results in lumbar spinal stenosis. Turk Neurosurg 15:182–184Google Scholar
  67. 67.
    Palmer S, Davison L (2012) Minimally invasive surgical treatment of lumbar spinal stenosis: two-year follow-up in 54 patients. Surg Neurol Int 3:41CrossRefPubMedPubMedCentralGoogle Scholar
  68. 68.
    Panagiotis ZE, Athanasios K, Panagiotis D, Minos T, Charis M, Elias L (2006) Functional outcome of surgical treatment for multilevel lumbar spinal stenosis. Acta Orthop 77:670–676CrossRefPubMedGoogle Scholar
  69. 69.
    Pao JL, Chen WC, Chen PQ (2009) Clinical outcomes of microendoscopic decompressive laminotomy for degenerative lumbar spinal stenosis. Eur Spine J 18:672–678CrossRefPubMedPubMedCentralGoogle Scholar
  70. 70.
    Papavero L, Thiel M, Fritzsche E, Kunze C, Westphal M, Kothe R (2009) Lumbar spinal stenosis: prognostic factors for bilateral microsurgical decompression using a unilateral approach. Neurosurgery 65:182–187PubMedGoogle Scholar
  71. 71.
    Parker SL, Fulchiero EC, Davis BJ, Adogwa O, Aaronson OS, Cheng JS et al (2011) Cost-effectiveness of multilevel hemilaminectomy for lumbar stenosis-associated radiculopathy. Spine J 11:705–711CrossRefPubMedGoogle Scholar
  72. 72.
    Parlato C, Iavarone A, Gentile M, Albanese R, Moraci A (2013) Outcome of lumbar intervertebral foraminal stenosis surgery and depression. Eur Neurol 69:304–308CrossRefPubMedGoogle Scholar
  73. 73.
    Postacchini R, Ferrari E, Cinotti G, Menchetti PPM, Postacchini F (2011) Aperius interspinous implant versus open surgical decompression in lumbar spinal stenosis. Spine J 11:933–939CrossRefPubMedGoogle Scholar
  74. 74.
    Reyes-Sanchez A, Sanchez-Bringas G, Zarate-Kalfopulos B, Alpizar-Aguirre A, Lara-Padilla E, Rosales-Olivares LM (2013) [Transpedicular dynamics stabilization in the treatment of lumbar stenosis. Fourth years follow-up]. Cir Cir 81:48–54PubMedGoogle Scholar
  75. 75.
    Schulte TL, Schubert T, Winter C, Brandes M, Hackenberg L, Wassmann H et al (2010) Step activity monitoring in lumbar stenosis patients undergoing decompressive surgery. Eur Spine J 19:1855–1864CrossRefPubMedPubMedCentralGoogle Scholar
  76. 76.
    Shabat S, Arinzon Z, Folman Y, Leitner J, David R, Pevzner E et al (2008) Long-term outcome of decompressive surgery for lumbar spinal stenosis in octogenarians. Eur Spine J 17:193–198CrossRefPubMedGoogle Scholar
  77. 77.
    Shabat S, Miller LE, Block JE, Gepstein R (2011) Minimally invasive treatment of lumbar spinal stenosis with a novel interspinous spacer. Clin Interv Aging 6:227–233PubMedPubMedCentralGoogle Scholar
  78. 78.
    Sigmundsson FG, Kang XP, Jonsson B, Stromqvist B (2012) Prognostic factors in lumbar spinal stenosis surgery. Acta Orthop 83:536–542CrossRefPubMedPubMedCentralGoogle Scholar
  79. 79.
    Sinikallio S, Lehto SM, Aalto T, Airaksinen O, Kroger H, Viinamaki H (2010) Depressive symptoms during rehabilitation period predict poor outcome of lumbar spinal stenosis surgery: a two-year perspective. BMC Musculoskel Dis 11:152CrossRefGoogle Scholar
  80. 80.
    Sobottke R, Aghayev E, Roder C, Eysel P, Delank SK, Zweig T (2012) Predictors of surgical, general and follow-up complications in lumbar spinal stenosis relative to patient age as emerged from the Spine Tango Registry. Eur Spine J 21:411–417CrossRefPubMedGoogle Scholar
  81. 81.
    Stromqvist BH, Berg S, Gerdhem P, Johnsson R, Moller A, Sahlstrand T et al (2013) X-stop versus decompressive surgery for lumbar neurogenic intermittent claudication: randomized controlled trial with 2-year follow-up. Spine 38:1436–1442CrossRefPubMedGoogle Scholar
  82. 82.
    Surace MF, Fagetti A, Fozzato S, Cherubino P (2012) Lumbar spinal stenosis treatment with Aperius perclid interspinous system. Eur Spine J 21(1):S69–S74CrossRefPubMedGoogle Scholar
  83. 83.
    Tenhula J, Lenke LG, Bridwell KH, Gupta P, Riew D (2000) Prospective functional evaluation of the surgical treatment of neurogenic claudication in patients with lumbar spinal stenosis. J Spinal Disord 13:276–282CrossRefPubMedGoogle Scholar
  84. 84.
    Westergaard L, Hauerberg J, Springborg JB (2009) Outcome after surgical treatment for lumbar spinal stenosis: the lumbar extension test is not a predictive factor. Spine 34:E930–E935CrossRefPubMedGoogle Scholar
  85. 85.
    Wilkinson JS, Fourney DR (2012) Failure of percutaneous remodeling of the ligamentum flavum and lamina for neurogenic claudication. Neurosurgery 71:86–91CrossRefPubMedGoogle Scholar
  86. 86.
    Willen J, Wessberg PJ, Danielsson B (2008) Surgical results in hidden lumbar spinal stenosis detected by axial loaded computed tomography and magnetic resonance imaging: an outcome study. Spine 33:E109–E115CrossRefPubMedGoogle Scholar
  87. 87.
    Wong Chung-Ting M, Chan Pak-Ho A, Cheung KK (2012) A prospective study on the outcome of degenerative lumbar spinal stenosis treated with open laminotomy. J Orthop Trauma Rehab 16:62–65Google Scholar
  88. 88.
    Wong WHM (2012) Mild interlaminar decompression for the treatment of lumbar spinal stenosis: procedure description and case series with 1-year follow-up. Clin J Pain 28:534–538CrossRefPubMedGoogle Scholar
  89. 89.
    Yamashita K, Ohzono K, Hiroshima K (2006) Five-year outcomes of surgical treatment for degenerative lumbar spinal stenosis: a prospective observational study of symptom severity at standard intervals after surgery. Spine 31:1484–1490CrossRefPubMedGoogle Scholar
  90. 90.
    Yasar B, Simsek S, Er U, Yigitkanli K, Eksioglu E, Altug T et al (2009) Functional and clinical evaluation for the surgical treatment of degenerative stenosis of the lumbar spinal canal: clinical article. J Neurosurg Spine 11:347–352CrossRefPubMedGoogle Scholar
  91. 91.
    Yucesoy K, Ozer E (2002) Inverse laminoplasty for the treatment of lumbar spinal stenosis. Spine 27:E316–E320Google Scholar
  92. 92.
    Yukawa Y, Lenke LG, Tenhula J, Bridwell KH, Riew KD, Blanke K (2002) A comprehensive study of patients with surgically treated lumbar spinal stenosis with neurogenic claudication. J Bone Joint Surg 84-A:1954–1959Google Scholar
  93. 93.
    Mlyavykh S, Ludwig SC, Mobasser JP, Kepler CK, Anderson G (2013) Twelve-month results of a clinical pilot study utilizing pedicle-lengthening osteotomy for the treatment of lumbar spinal stenosis. J Neurosurg Spine 18(4):347–355. doi: 10.3171/2012.11.SPINE12402 CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  1. 1.Discipline of Physiotherapy, Faculty Health SciencesThe University of SydneySydneyAustralia
  2. 2.Departamento de FisioterapiaUniversidade Federal de Ciências da Saúde de Porto AlegrePorto AlegreBrazil
  3. 3.The George Institute for Global Health, Sydney Medical SchoolUniversity of SydneySydneyAustralia
  4. 4.The Institute of Bone and Joint Research, Sydney Medical SchoolUniversity of SydneySydneyAustralia
  5. 5.Neuroscience Research AustraliaUniversity of New South WalesSydneyAustralia
  6. 6.Departamento de Fisioterapia, Faculdade de Ciências e TecnologiaUNESP, Univ Estadual PaulistaPresidente PrudenteBrazil
  7. 7.Department of General PracticeErasmus MCRotterdamThe Netherlands

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