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LumbSten: the lumbar spinal stenosis outcome study.
- Source :
-
BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2010 Nov 02; Vol. 11, pp. 254. Date of Electronic Publication: 2010 Nov 02. - Publication Year :
- 2010
-
Abstract
- Background: Lumbar spinal stenosis is the most frequent reason for spinal surgery in elderly people. For patients with moderate or severe symptoms different conservative and surgical treatment modalities are recommended, but knowledge about the effectiveness, in particular of the conservative treatments, is scarce. There is some evidence that surgery improves outcome in about two thirds of the patients. The aims of this study are to derive and validate a prognostic prediction aid to estimate the probability of clinically relevant improvement after surgery and to gain more knowledge about the future course of patients treated by conservative treatment modalities.<br />Methods/design: This is a prospective, multi-centre cohort study within four hospitals of Zurich, Switzerland. We will enroll patients with neurogenic claudication and lumbar spinal stenosis verified by Computer Tomography or Magnetic Resonance Imaging. Participating in the study will have no influence on treatment modality. Clinical data, including relevant prognostic data, will be collected at baseline and the Swiss Spinal Stenosis Questionnaire will be used to quantify severity of symptoms, physical function characteristics, and patient's satisfaction after treatment (primary outcome). Data on outcome will be collected 6 weeks, and 6, 12, 24 and 36 months after inclusion in the study. Applying multivariable statistical methods, a prediction rule to estimate the course after surgery will be derived.<br />Discussion: The ultimate goal of the study is to facilitate optimal, knowledge based and individualized treatment recommendations for patients with symptomatic lumbar spinal stenosis.
- Subjects :
- Aged
Cohort Studies
Female
Humans
Male
Prospective Studies
Spinal Stenosis diagnosis
Spondylosis diagnosis
Neurosurgical Procedures adverse effects
Neurosurgical Procedures methods
Outcome Assessment, Health Care methods
Physical Therapy Modalities
Spinal Stenosis rehabilitation
Spinal Stenosis surgery
Spondylosis rehabilitation
Spondylosis surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2474
- Volume :
- 11
- Database :
- MEDLINE
- Journal :
- BMC musculoskeletal disorders
- Publication Type :
- Academic Journal
- Accession number :
- 21044326
- Full Text :
- https://doi.org/10.1186/1471-2474-11-254