PMID- 38528550
OWN - NLM
STAT- MEDLINE
DCOM- 20240327
LR  - 20240328
IS  - 1749-799X (Electronic)
IS  - 1749-799X (Linking)
VI  - 19
IP  - 1
DP  - 2024 Mar 25
TI  - Recovery pattern after decompression of central lumbar spinal stenosis: a 
      prospective observational cohort study.
PG  - 200
LID - 10.1186/s13018-024-04614-1 [doi]
LID - 200
AB  - BACKGROUND: Detailed preoperative information is associated with superior 
      outcomes. We aimed to describe the recovery pattern after decompression of 
      central lumbar spinal stenosis (CLSS). METHODS: 50 patients aged 51-85 years who 
      underwent decompression without fusion due to CLSS were followed from before to 
      after surgery (post-op day 1, 7, and 14). Back and leg pain were evaluated using 
      the Numeric Rating Scale (NRS; 0 = no pain 0, 10 = worst pain) and quality of 
      life using the EuroQol-5D index (0 = death, 1 = best), and EQ-5D-visual analogue 
      scale (VAS; 0 = worst, 100 = best). RESULTS: NRS leg pain was reduced from 
      preoperative to first postoperative day by 5.2 (6.1, 4.3) (mean (95%CI)], and NRS 
      back pain from postoperative day 1-7 by 0.6 (1.2, 0.03) and from day 7 to 14 by 
      0.7 (1.3, 0.2)]. In contrast, EQ-5D index increased from preoperative to first 
      postoperative day by 0.09 (0.06, 0.13) and from day 1 to 7 by 0.05 (0.02,0.08), 
      and EQ-5D VAS from preoperative to first postoperative day by 13.7 (9.1, 18.3) 
      and from day 1 to 7 by 6.0 (2.0, 10.0). After two weeks, 51% of the patients had 
      improved above the minimal clinically important difference (MCID) in back pain 
      and 71% in leg pain. CONCLUSIONS: Patients scheduled for decompression due to 
      CLSS should be informed that improvement in leg pain and quality of life in 
      general can be expected within one day of surgery, that quality of life improves 
      a little further in the first postoperative week, and that back pain improves in 
      the first 2 postoperative weeks. In most patients, decompression without fusion 
      due to CLSS seems to achieve clinically relevant improvement within 2 weeks.
CI  - (c) 2024. The Author(s).
FAU - Hareni, Niyaz
AU  - Hareni N
AD  - Departments of Clinical Sciences and Orthopaedics, Lund University, Skane 
      University Hospital, Malmo, Sweden. niyaz.hareni@regionhalland.se.
AD  - Department of Orthopaedics, Varberg Hospital, Traslovsvagen 68, 432 37, Varberg, 
      Sweden. niyaz.hareni@regionhalland.se.
FAU - Ebrahimnia, Soheil
AU  - Ebrahimnia S
AD  - Departments of Clinical Sciences and Orthopaedics, Lund University, Skane 
      University Hospital, Malmo, Sweden.
FAU - Rosengren, Bjorn E
AU  - Rosengren BE
AD  - Departments of Clinical Sciences and Orthopaedics, Lund University, Skane 
      University Hospital, Malmo, Sweden.
FAU - Karlsson, Magnus K
AU  - Karlsson MK
AD  - Departments of Clinical Sciences and Orthopaedics, Lund University, Skane 
      University Hospital, Malmo, Sweden.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20240325
PL  - England
TA  - J Orthop Surg Res
JT  - Journal of orthopaedic surgery and research
JID - 101265112
SB  - IM
MH  - Humans
MH  - *Spinal Stenosis/surgery/complications
MH  - Prospective Studies
MH  - Quality of Life
MH  - Decompression, Surgical
MH  - Lumbar Vertebrae/surgery
MH  - Back Pain/etiology/surgery
MH  - *Spinal Fusion
MH  - Treatment Outcome
PMC - PMC10962069
OTO - NOTNLM
OT  - Back
OT  - Decompression
OT  - Leg
OT  - Lumbar
OT  - Pain
OT  - Quality of life
OT  - Spinal
OT  - Stenosis
OT  - Surgery
COIS- The authors declare that they have no competing interests.
EDAT- 2024/03/26 06:45
MHDA- 2024/03/27 06:43
PMCR- 2024/03/25
CRDT- 2024/03/26 01:19
PHST- 2024/01/02 00:00 [received]
PHST- 2024/02/01 00:00 [accepted]
PHST- 2024/03/27 06:43 [medline]
PHST- 2024/03/26 06:45 [pubmed]
PHST- 2024/03/26 01:19 [entrez]
PHST- 2024/03/25 00:00 [pmc-release]
AID - 10.1186/s13018-024-04614-1 [pii]
AID - 4614 [pii]
AID - 10.1186/s13018-024-04614-1 [doi]
PST - epublish
SO  - J Orthop Surg Res. 2024 Mar 25;19(1):200. doi: 10.1186/s13018-024-04614-1.