تضيق القناة الشوكية القطنية مع أعراض متوسطة إلى شديدة — ماذا تفعل عندما لم ينجح العلاج الطبي والتدخلي

References

• Decompressive surgery is suggested to improve outcomes in patients with moderate to severe symptoms of lumbar spinal stenosis.
• Medical/interventional treatment may be considered for patients with moderate symptoms of lumbar spinal stenosis.
• Surgery should be suggested, but only after a trial of medical/interventional treatment.
• Decompression alone is suggested for patients with leg predominant symptoms without instability.
• The authors concluded that although patients improved over the two year follow-up regardless of initial treatment, the decompressive surgery group reported greater improvement in leg pain, back pain and overall disability, with relative benefits decreasing over time, but remaining favorable.