How Decompression Surgery Improves the Lower Back Pain in Patient with Lumbar Degenerative Stenosis: A Propensity-score-matched Analysis

Study Design. Multicenter retrospective case series of patients treated surgically for lumbar spinal stenosis (LSS) Objective. We investigated how laminectomy improves lower back pain (LBP) and the factors associated with poor improvement. Summary of Background Data. Lumbar laminectomy is effective for alleviating neurological symptoms caused by LSS, whereas its effect on LBP is still controversial. Methods. A retrospective review of prospectively collected data from 436 patients (age 72 yrs, 69% males) who underwent laminectomy for LSS with 2 years of follow-up. We analyzed the following risk factors for residual LBP by uni- and multivariate analyses: age, sex, smoking, occupation, comorbidities, frailty, joint replacement, vertebral fracture, DISH, HRQOL, complications, and the presence of spinal instability. The LBP of male and female patients was analyzed after propensity score matching of known confounders. Patient-reported outcomes (JOABPEQ and VAS scores) were obtained at baseline and the 2-year postoperative follow-up. Results. LBP was significantly improved at 2 years post operation (VAS change 2.3 [95% CI 2.0–2.6], P 
Source: Spine - Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research