ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2023
Balancing ability of patients with lumbar spinal canal stenosis.
Article in 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, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 6 citations in OpenAlex.
- Measurement Properties of the Japanese Oswestry Disability Index in Preoperative Patients With Lumbar Spinal Stenosis: Effect of Pain and Numbness: A Cross-Sectional Study.Health science reports · 2026Article
- Intervertebral disc degeneration.Nature reviews. Disease primers · 2026Review
- Percutaneous endoscopic unilateral laminotomy and bilateral decompression improves gait quality and stance balance in patients with lumbar spinal stenosis: a retrospective cohort study.Journal of orthopaedic surgery and research · 2025Article
- Correlation between the severity of lumbar spinal stenosis and lumbar paraspinal muscle atrophy.American journal of translational research · 2025Article
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Authors and funding
7 authors at 3 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo determine the relationship between postural sway and the severity of lumbar spinal canal stenosis as well as the effect on postoperative improvement.
methodsStabilometry was performed before and 6 months after surgery in 52 patients (29 men and 23 women; mean age, 74.1 ± 7.8 years) who underwent decompression surgery for lumbar spinal canal stenosis. The environmental area (EA; the area surrounding the circumference of the stabilogram) and locus length per EA (L/EA) were evaluated. The patients were divided into moderate (n = 22) and severe (n = 30) groups according to the severity of canal stenosis. Patient characteristics and parameters were compared between the groups before and after surgery, including the visual analog scale (VAS) score for leg pain, Oswestry Disability Index (ODI), EA, and L/EA. In addition, factors affecting EA and L/EA were evaluated using multiple regression analysis.
resultsAge (p = 0.031), preoperative EA (p < 0.001), preoperative L/EA (p = 0.032), and sagittal vertical axis (p = 0.033) were significantly different between groups. The VAS score and ODI significantly improved postoperatively in both groups (p < 0.001). The EA significantly improved postoperatively only in the severe group (p < 0.001), whereas the L/EA did not significantly improve in either group. Multiple regression analysis showed that only the severity of canal stenosis was significantly associated with preoperative EA (p = 0.030), whereas age (p = 0.040) and severity of canal stenosis (p = 0.030) were significantly associated with preoperative L/EA. Diabetes was significantly associated with postoperative EA (p = 0.046) and L/EA (p = 0.030).
conclusionThe severity of canal stenosis affected abnormal postural sway, which improved after decompression surgery.
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