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Recovery pattern after decompression of central lumbar spinal stenosis: a prospective observational cohort study – Lumbar Spinal Stenosis

The article discusses the recovery pattern after decompression of central lumbar spinal stenosis (CLSS) in patients aged 51-85. The study followed 50 patients before and after surgery, evaluating back and leg pain using the Numeric Rating Scale (NRS) and quality of life using the EuroQol-5D index and EQ-5D-visual analogue scale. Results showed significant reductions in leg and back pain postoperatively, as well as improvements in quality of life within the first day after surgery and continuing over the following weeks. The study suggests that patients undergoing decompression for CLSS can expect clinically relevant improvements in pain and quality of life within two weeks after surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated day surgery hospital on Harley Street UK

Published article

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.

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J Orthop Surg Res. 2024 Mar 25;19(1):200. doi: 10.1186/s13018-024-04614-1.ABSTRACTBACKGROUND: 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,

J Orthop Surg Res. 2024 Mar 25;19(1):200. doi: 10.1186/s13018-024-04614-1.

ABSTRACT

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.

PMID:38528550 | DOI:10.1186/s13018-024-04614-1

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Recovery pattern after decompression of central lumbar spinal stenosis: a prospective observational cohort study

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J Orthop Surg Res. 2024 Mar 25;19(1):200. doi: 10.1186/s13018-024-04614-1.ABSTRACTBACKGROUND: 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

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