Universität zu Köln

Beyer, Frank, Geier, Fabian, Bredow, Jan, Oppermann, Johannes, Schmidt, Andreas, Eysel, Peer and Sobottke, Rolf (2016). Non-operative treatment of lumbar spinal stenosis. Technol. Health Care, 24 (4). S. 551 - 558. AMSTERDAM: IOS PRESS. ISSN 1878-7401

Full text not available from this repository.

Abstract

BACKGROUND AND OBJECTIVE: Non-operative treatment is widely accepted for early stages of lumbar spinal stenosis. In general, a trial of conservative treatment is recommended prior to surgery. However, there is an ongoing debate regarding benefits from non-operative treatment and their duration. METHODS: Thirty-eight patients were included in this prospective study. All patients received repeated epidural injections and facet joint injections as well as physiotherapy during a one week hospitalization. Patient characteristics, VAS scores, COMI and ODI scores and SF-36 were assessed prior to and immediately after treatment as well as after six, twelve, and 26 weeks. For six weeks after treatment, patients were asked to record a pain diary. RESULTS: Back and leg pain scores improved significantly on VAS up to three months follow-up. COMI score improved significantly over the entire follow-up. Regarding quality of life, mental sub-scores showed no improvement. Physical component summary scores improved for the first three months. CONCLUSIONS: Non-operative treatment offers pain relief and improves physical function for three months. COMI scores improve up to six months follow-up. Spine Tango registry offers standardized instruments for outcome evaluation of non operative treatment.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Beyer, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Geier, Fabian UNSPECIFIED UNSPECIFIED UNSPECIFIED Bredow, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Oppermann, Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmidt, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Eysel, Peer UNSPECIFIED UNSPECIFIED UNSPECIFIED Sobottke, Rolf UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-289391
DOI:	10.3233/THC-161139
Journal or Publication Title:	Technol. Health Care
Volume:	24
Number:	4
Page Range:	S. 551 - 558
Date:	2016
Publisher:	IOS PRESS
Place of Publication:	AMSTERDAM
ISSN:	1878-7401
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EPIDURAL GLUCOCORTICOID INJECTIONS; STEROID INJECTIONS; RANDOMIZED-TRIAL; DOUBLE-BLIND; PAIN Multiple languages Health Care Sciences & Services; Engineering, Biomedical Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/28939