Predictive factors influencing clinical outcome with operative management of lumbar spinal stenosis

2011 ◽  
Vol 11 (7) ◽  
pp. 613-617 ◽  
Author(s):  
Aravind Athiviraham ◽  
Zubair A. Wali ◽  
David Yen
Keyword(s):  
Clinical Outcome ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Predictive Factors ◽  
Operative Management ◽  
Factors Influencing ◽  
Lumbar Spinal

Predicting clinical outcome and length of sick leave after surgery for lumbar spinal stenosis in Sweden: a multi-register evaluation

2018 ◽  
Vol 28 (6) ◽  
pp. 1423-1432 ◽  
Author(s):  
Hanna Iderberg ◽  
Carl Willers ◽  
Fredrik Borgström ◽  
Rune Hedlund ◽  
Olle Hägg ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Sick Leave ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Lumbar Spinal

scholarly journals The relationship between preoperative predictive factors for clinical outcome in patients operated for lumbar spinal stenosis by decompressive laminectomy

2020 ◽  
Vol 11 ◽  
pp. 27 ◽  
Author(s):  
Dobran Mauro ◽  
Davide Nasi ◽  
Riccardo Paracino ◽  
Mara Capece ◽  
Erika Carrassi ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Predictive Factors ◽  
Antidepressant Drugs ◽  
Decompressive Laminectomy ◽  
Pain Anxiety ◽  
Pain Medications ◽  
Improved Outcomes ◽  
Lumbar Spinal

Background: Our hypothesis was that by identifying certain preoperative predictive factors, we could favorably impact clinical outcomes in patients undergoing decompressive surgery for lumbar spinal stenosis (LSS). Methods: In this retrospective study, there were 65 patients (2016–2018) with symptomatic LSS who underwent decompressive laminectomy without fusion. Their clinical outcomes were assessed utilizing the Oswestry Disability Index (ODI). Multiple preoperative variables were studied to determine which ones would help predict improved outcomes: gender, age, body mass index (BMI), general/neurological examination, smoking, and drug therapies (anxiolytics and/or antidepressants). Results: All patients demonstrated statistically significant improvement on the ODI. Multivariate analysis revealed that those with higher preoperative BMI had significantly lower ODI on 1-year follow-up examinations, reflecting poorer outcomes. Postoperatively, 44 patients (67%) exhibited lower utilization of anxiolytic medications, 52 patients (80%) showed reduced use of antidepressant drugs, and pain medications utilization was reduced in 33 patients (50%). Conclusion: Decompressive laminectomy without fusion effectively managed LSS. It reduced patients’ use of pain, anxiety, and antidepressant medications. In addition, we found that increased preoperative BMIs contributed to poorer postoperative outcomes (e.g., ODI values).

Long-Term Clinical Outcome and Reoperation Rate for Microsurgical Bilateral Decompression via Unilateral Approach of Lumbar Spinal Stenosis

2019 ◽  
Vol 125 ◽  
pp. e465-e472
Author(s):  
İsmail Yüce ◽  
Okan Kahyaoğlu ◽  
Halit Arda Çavuşoğlu ◽  
Halit Çavuşoğlu ◽  
Yunus Aydın
Keyword(s):  
Clinical Outcome ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Reoperation Rate ◽  
Unilateral Approach ◽  
Lumbar Spinal

179. Predictors of clinical outcome following surgery for lumbar spinal stenosis: a study of postoperative pain and disability trajectories

2019 ◽  
Vol 19 (9) ◽  
pp. S86-S87
Author(s):  
Jeffrey Hebert ◽  
Erin Bigney ◽  
Niels Wedderkopp ◽  
Eden A. Richardson ◽  
Mariah A. Darling ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Clinical Outcome ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Lumbar Spinal

Microsurgical unilateral laminotomy for decompression of lumbar spinal stenosis: long-term results and predictive factors

2016 ◽  
Vol 158 (6) ◽  
pp. 1103-1113 ◽  
Author(s):  
Karsten Schöller ◽  
Thomas Steingrüber ◽  
Marco Stein ◽  
Nina Vogt ◽  
Tilman Müller ◽  
...  
Keyword(s):  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Predictive Factors ◽  
Long Term Results ◽  
Lumbar Spinal

scholarly journals Prediction of long-term clinical outcome in patients with lumbar spinal stenosis

2012 ◽  
Vol 21 (12) ◽  
pp. 2611-2619 ◽  
Author(s):  
B. Micankova Adamova ◽  
S. Vohanka ◽  
L. Dusek ◽  
J. Jarkovsky ◽  
J. Bednarik
Keyword(s):  
Clinical Outcome ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Lumbar Spinal
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