Evidence map›Paper›PMID 20227646›Full record

ReviewBest practice & research. Clinical rheumatology2010

Lumbar spinal stenosis.

Stephane Genevay, Steven J Atlas

Registry-linked trialAbstract readReview
In one paragraph

Review in Best practice & research. Clinical rheumatology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03368638 (Neural And Hip Mobilizations In Patients With Neurogenic Claudication Associated With Degenerative Lumbar Spinal Stenosis), which is not on this map. Cited by 166 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
166citing papers in PubMed, 8 pooled it
7.7field-weighted citation impact, top 2% 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.

NCT03368638 nacompletednot on this mapstarted 2018, after this paper: background citation

Neural And Hip Mobilizations In Patients With Neurogenic Claudication Associated With Degenerative Lumbar Spinal Stenosis: A Case Series

TypeinterventionalSponsorTexas Tech University Health Sciences CenterRan2018 to 2019Enrolled8ConditionsLumbar Spinal StenosisArmsPhysical therapy intervention
3 · Its place in the literature

Who cites it

166 citing papers in PubMed, 8 syntheses or guidelines pooled it, 362 citations in OpenAlex.

  1. Depression as a prognostic factor for lumbar spinal stenosis outcomes: a systematic review.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 · 2024
    Pooled it
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  4. A systematic review of developmental lumbar spinal stenosis.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 · 2020
    Pooled it
  5. Pooled it
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  7. Management of lumbar spinal stenosis.BMJ (Clinical research ed.) · 2016
    Pooled it
  8. Rehabilitation following surgery for lumbar spinal stenosis.The Cochrane database of systematic reviews · 2013
    Pooled it
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  14. A prospective randomised controlled trial to assess the efficacy of dynamic stabilisation of the lumbar spine with the Wallis ligament.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 · 2014
    Trial
  15. Dual-media spinal endoscopy versus unilateral biportal endoscopy for single-level degenerative lumbar spinal stenosis: a comparative study of mid-term outcomes.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 · 2026
    Article
  16. Endoscopic decompression alone for lumbar spinal stenosis with degenerative spondylolisthesis: a systematic review and meta-analysis of paired change scores.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 · 2026
    Review
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106 more citing papers are in PubMed but not listed here.

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

2 authors at 2 institutions in 2 countries.

Stephane GenevayDivision of Rheumatology, University Hospitals of Geneva, Geneva, Switzerland. stephane.genevay@hcuge.ch
Steven J Atlas
Massachusetts General Hospital · USUniversity Hospital of Geneva · CH

Funding

Prognostic Value of Lumbar Spine MRIP60AR048094 · NIAMS · DARTMOUTH COLLEGE · PI TOSTESON, ANNA N. A. · 2003 to 2007
$6.2M
NIAMS NIH HHS P60 AR048094
6 · The paper itself

Abstract

Lumbar spinal stenosis (LSS) is most commonly due to degenerative changes in older individuals. LSS is being more commonly diagnosed and may relate to better access to advanced imaging and to an ageing population. This review focusses on radicular symptoms related to degenerative central and lateral stenosis and updates knowledge of LSS pathophysiology, diagnosis and management. Since patients with anatomic LSS can range from asymptomatic to severely disabled, the clinical diagnosis focusses on symptoms and examination findings associated with LSS. Imaging findings are helpful for patients with persistent, bothersome symptoms in whom invasive treatments are being considered. There is limited information from high-quality studies about the relative merits and demerits of commonly used treatments. Interpreting and comparing results of available research are limited by a lack of consensus about the definition of LSS. Nevertheless, evidence supports decompressive laminectomy for patients with persistent and bothersome symptoms. Recommendations favour a shared decision-making approach due to important trade-offs between alternative therapies and differences among patients in their preferences and values.

Indexed as

Decompression, SurgicalHumansIntermittent ClaudicationLaminectomyLumbar VertebraeSpinal StenosisTreatment Outcome

Identifiers

PMID20227646
PMCPMC2841052
OpenAlexW2056526677

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.