THE EFFECT OF DECOMPRESSION ON THE NATURAL COURSE OF SPINAL STENOSIS - A COMPARISON OF SURGICALLY TREATED AND UNTREATED PATIENTS

被引：106

作者：

JOHNSSON, KE

UDEN, A

ROSEN, I

机构：

[1] Departments of Orthopaedics, Malmö

[2] Clinical Neurophysiology, Malmö General Hospital, Lund University, Malmö

来源：

SPINE | 1991年 / 16卷 / 06期

关键词：

SPINAL STENOSIS; LAMINECTOMY; NATURAL COURSE; EMG;

D O I：

10.1097/00007632-199106000-00003

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The clinical course of 19 untreated patients with spinal stenosis (mean age, 60 years) was compared with that of 44 patients treated surgically (mean age, 65 years). The time of follow-up was 31 and 53 months, respectively. About 80% of the patients had neurogenic intermittent claudication. In the follow-up, one third of the treated and one half of the untreated patients still had neurogenic claudication. By visual analogue-scale estimation, 60% of those treated surgically and 33% of the untreated patients felt better. Fifty-eight percent of the untreated patients were unchanged. Neurophysiologic changes showed progression in almost all cases; it was more pronounced in the patients. No proof of severe deterioration was found in the untreated patients, and observation for 2-3 years seems to be a good alternative to surgery.

引用

页码：615 / 619

页数：5

共 20 条

[1]

Blau J.N., Logue V., The natural history of intermittent claudication of the cauda equina, Brain, 101, pp. 211-222, (1978)

[2]

Carlsson A.M., Assessment of chronic pain: I. Aspects of the reliability and validity of the visual analogue scale, Pain, 16, pp. 87-101, (1983)

[3]

Cauthen J.C., Lumbar Spine Surgery, (1983)

[4]

Fruhstorfer H., Lindblom U., Schmidt W.G., Method for quantitative estimation of thermal thresholds in patients, J Neurol Neurosurg Psychiatry, 39, pp. 1071-1075, (1976)

[5]

Galanski M., Weidner A., Vogelsang H., Der enge lumbale Spinalkanal, Rontgenblatter, 35, pp. 450-458, (1982)

[6]

Goldberg J.M., Lindblom U., Standardized method of determining vibratory perception thresholds for diagnosis and screening in neurological investigation, J Neurol Neurosurg Psychiatry, 42, pp. 793-803, (1979)

[7]

Hawkes C.H., Roberts G.M., Lumbar canal stenosis, Br J Hosp Med, 23, pp. 498-505, (1980)

[8]

Howe J., Frymoyer J.W., The effects of questionnaire design on the determination of end results in lumbar spinal surgery, Spine, 9, pp. 804-805, (1985)

[9]

Johnsson K.E., Rosdn I., Ud6n A., Neurophysiological investigation of patients with spinal stenosis, Spine, 12, pp. 483-487, (1987)

[10]

Johnsson K.E., Willner S., Pettersson H., Analysis of operated cases with lumbar spinal stenosis, Acta Orthop Scand, 52, pp. 427-433, (1981)

← 1 2 →