ArticleDeutsches Arzteblatt international2008
Degenerative lumbar spinal stenosis: current strategies in diagnosis and treatment.
Article in Deutsches Arzteblatt international, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 105 citations in OpenAlex.
- Is sequestrectomy a viable alternative to microdiscectomy? A systematic review of the literature.Clinical orthopaedics and related research · 2015Pooled it
- Comparison Between Percutaneous Transforaminal Endoscopic Discectomy and Fenestration in the Treatment of Degenerative Lumbar Spinal Stenosis.Medical science monitor : international medical journal of experimental and clinical research · 2020Trial
- A Prospective Comparative Study of Instrumented versus Noninstrumented Decompression in Lumbar Canal Stenosis.Annals of African medicine · 2026Article
- Three-year results of the MOTION randomized controlled trial for treatment of lumbar spinal stenosis using the percutaneousInterventional pain medicine · 2025Article
- Percutaneous endoscopic lumbar discectomy versus open fenestration discectomy for lumbar disc herniation: a retrospective propensity score-matched study with more than 5 years of follow-up.Journal of orthopaedic surgery and research · 2024Article
- Can magnetic resonance imaging findings effectively diagnose the instability observed on radiographs in patients with degenerative lumbar spinal stenosis?Journal of orthopaedic surgery and research · 2024Article
- Development and Validation of Machine Learning-Based Predictive Model for Prolonged Hospital Stay after Decompression Surgery for Lumbar Spinal Canal Stenosis.Spine surgery and related research · 2024Article
- Muscle activity and rehabilitation in spinal stenosis (MARSS) after conservative therapy and surgical decompression with or without fusion: Protocol for a partially randomized patient preference trial on rehabilitation timing.Contemporary clinical trials communications · 2024Article
- High prevalence of lumbar spinal stenosis in cases of idiopathic normal-pressure hydrocephalus affects improvements in gait disturbance after shunt operation.World neurosurgery: X · 2023Article
- Optimization of a lumbar interspinous fixation device for the lumbar spine with degenerative disc disease.PloS one · 2022Article
- Correlation between severity of spinal stenosis and multifidus atrophy in degenerative lumbar spinal stenosis.BMC musculoskeletal disorders · 2021Article
- [65/m-Reduced quality of life and mobility with leg and back pain : Preparation for the medical specialist examination: case 61].Der Orthopade · 2021Article
- Decompressive Surgery for Lumbar Spinal Stenosis: WFNS Spine Committee Recommendations.World neurosurgery: X · 2020Article
- Lumbar Spinal Stenosis Recommendations of World Federation of Neurosurgical Societies Spine Committee.World neurosurgery: X · 2020Article
- Prevalence and Risk Factors of Peripheral Arterial Disease in Patients with Lumbar Spinal Stenosis and Intermittent Claudication: CT Angiography Study.Journal of Korean medical science · 2020Article
- Observational
- [Lumbar spinal canal stenosis : A historical perspective].Der Orthopade · 2019Review
- Review
- Surgical training in spine surgery: safety and patient-rated outcome.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 · 2019Article
- Comparison of Effects of PELD and Fenestration in the Treatment of Geriatric Lumbar Lateral Recess Stenosis.Clinical interventions in aging · 2019Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAlthough the aging of the population is causing a dramatic rise in the incidence of lumbar spinal stenosis, the indications and options for surgical treatment are not clearly defined.
methodsIn an attempt to aid clinical decision making, a selective literature review was conducted, taking into account the guidelines of the Association of the Scientific Medical Societies in Germany (AWMF).
resultsIn degenerative lumbar spinal stenosis hypertrophy of the facet joints and yellow ligaments brings about constriction of the spinal canal, leading to back pain and activity-dependent lower limb symptoms (neurogenic claudication). If conservative treatment fails, an imaging study, usually magnetic resonance imaging, is required. In the case of severe symptoms the progressive underlying degeneration necessitates surgical treatment. Minimally invasive fenestration techniques are usually employed to decompress the spinal canal; in the presence of instability, fusion is indicated. DISCUSSION: Despite the proven superiority of surgery in the management of refractory lumbar spinal stenosis, there is a lack of evidence-based data regarding the different surgical treatment options. The evaluation of modern, minimally invasive techniques is thus difficult.
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Registered trials
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