Evidence map›Paper›PMID 16770609›Full record

ReviewDer Orthopade2006

[Lumbar spinal stenosis].

T L Schulte, V Bullmann, T Lerner, M Schneider, B Marquardt, U Liljenqvist, T A Pietilä, L Hackenberg

Abstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Der Orthopade, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 33 citations in OpenAlex.

  1. LumbSten: the lumbar spinal stenosis outcome study.BMC musculoskeletal disorders · 2010
    Trial
  2. Epidural abscess related toBMJ case reports · 2021
    Article
  3. Article
  4. [Spinal canal stenosis].Der Radiologe · 2014
    Article
  5. Review
  6. Review
  7. Article
  8. [Interspinous spacers--technique of Coflex™ implantation].Operative Orthopadie und Traumatologie · 2010
    Article
  9. Step activity monitoring in lumbar stenosis patients undergoing decompressive surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2010
    Article
  10. Article
  11. Review
  12. The effect of dynamic, semi-rigid implants on the range of motion of lumbar motion segments after decompression.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2008
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

T L SchulteKlinik und Poliklinik für Allgemeine Orthopädie, Universitätsklinikum Münster, Albert-Schweitzer-Strasse 33, 48149 , Münster, Germany. dr.tobias.schulte@web.de
V Bullmann
T Lerner
M Schneider
B Marquardt
U Liljenqvist
T A Pietilä
L Hackenberg
Klinik und Poliklinik für Psychosomatik und Psychotherapie · DEUniversity Hospital Münster · DEKlinikum Ingolstadt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lumbal spinal stenosis is gaining more and more clinical relevance because of changing population structure and increasing demand on lifequality in the elderly. Current treatment recommendations are based on clinical experience, expert opinions and single studies rather than on proven evidence. The radiologic degree of stenosis does not correlate with the patients' clinical situation. It is not the main factor indicating surgery but rather the typical history and spinal claudication. Symptomatic patients with light to moderate complaints should undergo multimodal conservative treatment. Epidural injections, delordosating physiotherapy and medication are useful. In patients with severe symptomatic stenosis surgery is indicated after a conservative treatment of 3 months. Relevant pareses or a cauda equina syndrome are absolute indications for surgery. The general aim is to decompress sufficiently while maintaining or restoring segmental stability. A laminectomy is not necessarily required. In patients with accompanying degenerative Meyerding grade I-II spondylolisthesis or instability in functional radiographs, fusion or dynamic stabilisation are recommended in addition to decompression, depending on the patient's age and activity level.

Indexed as

Practice Guidelines as TopicDecompressionGermanyHumansLaminectomyLow Back PainLumbar VertebraePractice Patterns, Physicians'Spinal Stenosis

Identifiers

PMID16770609
OpenAlexW1582043963

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.