Surgical options for lumbar spinal stenosis
Abstract Background Hospital charges for lumbar spinal stenosis have increased significantly worldwide in recent times, with great variation in the costs and rates of different surgical procedures. There have also been significant increases in the rate of complex fusion and the use of spinal spacer implants compared to that of traditional decompression surgery, even though […]
Surgical versus non-surgical treatment for lumbar spinal stenosis
Abstract Background Lumbar spinal stenosis (LSS) is a debilitating condition associated with degeneration of the spine with aging. Objectives To evaluate the effectiveness of different types of surgery compared with different types of non-surgical interventions in adults with symptomatic LSS. Primary outcomes included quality of life, disability, function and pain. Also, to consider complication rates […]
Single or double-level anterior interbody fusion techniques for cervical degenerative disc disease
Abstract Background The number of surgical techniques for decompression and solid interbody fusion as treatment for cervical spondylosis has increased rapidly, but the rationale for the choice between different techniques remains unclear. Objectives To determine which technique of anterior interbody fusion gives the best clinical and radiological outcomes in patients with single- or double-level degenerative […]
Surgery for cervical radiculopathy or myelopathy
Abstract Background Cervical spondylosis causes pain and disability by compressing the spinal cord or roots. Surgery to relieve the compression may reduce the pain and disability, but is associated with a small but definite risk. . Objectives To determine whether: 1) surgical treatment of cervical radiculopathy or myelopathy is associated with improved outcome, compared with […]
Surgical interventions for lumbar disc prolapse
Abstract Background Disc prolapse accounts for five percent of low-back disorders but is one of the most common reasons for surgery. Objectives The objective of this review was to assess the effects of surgical interventions for the treatment of lumbar disc prolapse. Search methods We searched the Cochrane Central Register of Controlled Trials, MEDLINE, PubMed, […]
Surgery for degenerative lumbar spondylosis
Abstract Background Surgical investigations and interventions account for large health care utilisation and costs, but the scientific evidence for most procedures is still limited. Objectives Degenerative conditions affecting the lumbar spine are variously described as lumbar spondylosis or degenerative disc disease (which we regarded as one entity) and may be associated with back pain and […]