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Nonoperative treatment for lumbar spinal stenosis with neurogenic claudication

  1. Carlo Ammendolia1,*,
  2. Kent J Stuber2,
  3. Elisabeth Rok3,
  4. Raja Rampersaud4,
  5. Carol A Kennedy5,
  6. Victoria Pennick6,
  7. Ivan A Steenstra7,
  8. Linda K de Bruin8,
  9. Andrea D Furlan5

Editorial Group: Cochrane Back Group

Published Online: 30 AUG 2013

Assessed as up-to-date: 15 JUL 2013

DOI: 10.1002/14651858.CD010712


How to Cite

Ammendolia C, Stuber KJ, Rok E, Rampersaud R, Kennedy CA, Pennick V, Steenstra IA, de Bruin LK, Furlan AD. Nonoperative treatment for lumbar spinal stenosis with neurogenic claudication. Cochrane Database of Systematic Reviews 2013, Issue 8. Art. No.: CD010712. DOI: 10.1002/14651858.CD010712.

Author Information

  1. 1

    Rebecca MacDonald Centre for Arthritis and Autoimmune Diseases, Toronto, ON, Canada

  2. 2

    Canadian Memorial Chiropractic College, Division of Graduate Eduation and Research, Calgary, Alberta, Canada

  3. 3

    Mount Sinai Hospital, Samuel Lunenfeld Research Institute, Toronto, ON, Canada

  4. 4

    Toronto Western Hospital, Division of Orthopedics, University Health Network, Toronto, ON, Canada

  5. 5

    Institute for Work & Health, Toronto, ON, Canada

  6. 6

    The Cochrane Collaboration, Cochrane Editorial Unit, London, UK

  7. 7

    Institute of Work and Health, Workplace studies, Toronto, Ontario, Canada

  8. 8

    Haarlem, Netherlands

*Carlo Ammendolia, Rebecca MacDonald Centre for Arthritis and Autoimmune Diseases, 60 Murray Street, Room L2007, Toronto, ON, M5T 3L9, Canada. cammendolia@mtsinai.on.ca. cammendolia@iwh.on.ca.

Publication History

  1. Publication Status: New
  2. Published Online: 30 AUG 2013

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Amundsen 2000 {published data only}
  • Amundsen T, Weber H, Nordal HJ, Magnaes B, Abdelnoor M, Lilleas F. Lumbar spinal stenosis: conservative or surgical management?: A prospective 10-year study. Spine 2006;25(11):1424-35.
Cuckler 1985 {published data only}
  • Cuckler JM, Bernini PA, Wiesel SW, Booth RE Jr, Rothman RH, Pickens GT. The use of epidural steroids in the treatment of lumbar radicular pain. A prospective, randomized, double blind study. The Journal of Bone and Joint Surgery. American volume 1985;67(1):63-6.
Eskola 1992 {published data only}
  • Eskola A, Pohljolainen T, Alaranta H, Soini J, Tallroth K, Slatis P. Calcitonin treatment in lumbar spinal stenosis: a randomized, placebo-controlled, double-blind, cross-over study with one year follow-up. Calcified Tissue International 1992;50(5):400-3.
Fukusaki 1988 {published data only}
Goren 2010 {published data only}
  • Goren A, Yildiz N, Topuz O, Findikoglu G, Ardic F. Efficacy of exercise and ultrasound in patients with lumbar spinal stenosis: a prospective randomized controlled trial. Clinical Rehabilitation 2010;24(7):623-31.
Koc 2009 {published data only}
Malmivaara 2007 {published data only}
  • Malmivaara A, Slatis P, Heliovaara M, Sainio P, Kinnunen H, Kankare J, et al. Surgical or non-operative treatment for lumbar spinal stenosis? A randomized controlled trial. Spine 2007;32(1):1-8.
  • Slatis P, Malmivaara A, Heliovaara M, Sianio P, Herno A, Kankare J, et al. Long-term results of surgery for lumbar spinal stenosis: a randomised controlled trial. European Spine Journal 2011;20:1174-81.
Matsudaira 2009 {published data only}
  • Matsudaira K, Seichi A, Kunogi J, Yamazaki T, Kobayahi A, Anamizu Y, et al. The efficacy of prostaglandin E1 derivative in patients with lumbar spinal stenosis. Spine 2009;34(2):115-20.
Podichetty 2004 {published data only}
  • Podichetty VK, Segal AM, Lieber M, Mazanee DJ. Effectiveness of salmon calcitonin nasal spray in the treatment of lumbar canal stenosis: a double-blind, randomized, placebo-controlled, parallel group tiral. Spine 2004;29(21):2343-9.
Porter 1983 {published data only}
Porter 1988 {published data only}
Pua 2007 {published data only}
  • Pua YH, Cai CC, Lim KC. Treadmill walking with body weight support is no more effective than cycling when added to an exercise program for lumbar spinal stenosis: a randomised controlled trial. Australian Journal Physiotherapy 2007;53(2):83-9.
Sahin 2009 {published data only}
  • Sahin F, Yilmaz F, Kotevoglu N, Kuran B. The efficacy of physical therapy and physical therapy plus calcitonin in the treatment of lumbar spinal stenosis. Yonsei Medical Journal 2009;50(5):683-8.
Tafazal 2007 {published data only}
  • Tafazal SI, Ng L Sell P. Randomised placebo-controlled trial on the effectiveness of nasal salmon calcitonin in the treatment of lumbar spinal stenosis. European Spine Journal 2007;16(2):207-12.
Waikakul 2000 {published data only}
  • Waikakul W, Waikakul S. Methylcobalamin as an adjuvant medication in conservative treatment of lubmar spinal stenosis. Journal Medical Association Thailand 2000;83(8):825-31.
Weinstein 2007 {published data only}
  • Weinstein JN, Lurie JD, Tosteson TD, Hanscom B, Tosteson AN, Blood EA, et al. Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis. The New England Journal of Medicine 2007;356(22):2257-70.
  • Weinstein JN, Lurie JD, Tosteson TD, Zhao W, Blood EA, Tosteson AN, et al. Surgical compared with nonoperative treatment for lumbar degenerative spondylolisthesis. four-year results in the Spine Patient Outcomes Research Trial (SPORT) randomized and observational cohorts. The Journal of Bone and Joint Surgery. American volume 2009;91(6):1295-304.
Weinstein 2008 {published data only}
  • Weinstein JN, Tosteson TD, Lurie JD, Tosteson A, Blood E, Herkowitz H, et al. Surgical versus nonoperative treatment for lumbar spinal stenosis four-year results of the Spine Patient Outcomes Research Trial. Spine 2010;35:1329-38.
  • Weinstein JN, Tosteson TD, Lurie JD, Tosteson AN, Blood E, Hanscom B, et al. Surgical versus nonsurgical therapy for lumbar spinal stenosis. The New England Journal of Medicine 2008;358(8):794-810.
Whitman 2006 {published data only}
  • Whitman JM, Flynn TW, Childs JD, Wainner RS, Gill HE, Ryder MG, et al. A comparision between two physical therapy treatment programs for patients with lumbar spinal stensosis: a randomized clinical trial. Spine 2006;31(22):2541-9.
Yaski 2007 {published data only}
Zahaar 1991 {published data only}
  • Zahaar M. The value of caudal epidural steroid in the treatment of lumbar neurogenic syndromes. Journal of Neurological and Orthopaedic Medicine and Surgery 1991;12:181-4.
Zucherman 2004 {published data only}
  • Anderson PA, Tribus CB, Kitchel SH. Treatment of neurogenic claudication by interspinous decompression: application of the X STOP device in patients with lumbar degenerative spondylolisthesis. Journal of Neurosurgery. Spine 2006;4(6):463-71.
  • Zucherman JF, Hsu KY, Hartjen CA, Mehalic TF, Implicito DA, Martin MJ, et al. A prospective randomized multi-center study for the treatment of lumbar spinal stenosis with the X STOP interspinous implant: 1-year results. European Spine Journal 2004;13(1):22-31.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Akyol 2009 {published data only}
  • Akyol Y, Durmus D, Alayli G, Tander B, Ulus Y, Canturk F. Effectiveness of physical therapy agents in patients with lumbar spinal stenosis. Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi 2009;55(4):140-6.
Canovas 2009 {published data only}
  • Canovas L, Castro M, Martinez-Salgado J, Vila S, Centeno y F, Rocha J. Sciatica: Intradiscal ozone administration associated with pulsed radiofrequency of the dorsal root ganglia compared with the isolated use of each of these two techniques [Ciatica: tratamiento con ozono intradiscal y radiofrecuencia del ganglio de la raiz dorsal frente a cada una de estas dos tecnicas]. Revista de la Sociedad Espanola del Dolor 2009;16(3):141-6.
Comer 2010 {published data only}
  • Comer CM, Johnson MI, Marchant PR, Redmond AC, Bird HA, Conaghan PG. The effectiveness of walking stick use for neurogenic claudication: results from a randomized trail and the effects on walking tolerance and posture. Archives of Physical Medicine and Rehabilitation 2010;91(1):15-19.
Ghosh 1981 {published data only}
  • Ghosh P, Taylor TK, Meachin AD. A double blind crossover trial of indomethacin flurbiprofen and placebo in the management of lumbar spondylosis. Current Therapeutic Research, Clinical and Experimental 1981;30(3):318-26.
Huda 2010 {published data only}
  • Huda N, Bansal P, Gupta SM, Ruhela A, Rehman M, Afzal M. The efficacy of epidural depo-methylprednisolone and triamcinolone acetate in relieving the symptoms of lumbar canal stenosis: A comparative study. Journal of Clinical and Diagnostic Research 2010;4(4):2842-7.
Khoromi 2007a {published data only}
  • Khoromi S, Blackman MR, Kingman A, Patsalides A, Matheny LA, Adams S, et al. Low intensity permanent magnets in the treatment of chronic lumbar radicular pain. Journal of Pain and Symptom Management 2007;34(4):434-45.
Khoromi 2007b {published data only}
Lee 2003 {published data only}
  • Lee JH, An JH, Lee SH. Comparison of the effectiveness of interlaminar and bilateral transforaminal epidural steroid injections in treatment of patients with lumboscarl disc herniation and spinal stenosis. The Clinical Journal of Pain 2003;25(3):206-10.
Levendogluo 2009 {published data only}
  • Levendoglu F, Oguz H, Polat E, Bodur S. The effect of corset on walking time in lumbar spinal stenosis. Turkiye Klinikleri Journal of Medical Sciences 2009;29(5):1172-7.
Makki 2010 {published data only}
  • Makki D, Nawabi DH, Francis R, Hamed AR, Hussein AA. Is the outcome of caudal epidural injections affected by patient positioning?. Spine 2010;35(15):E687-90.
Manchikanti 2008 {published data only}
  • Manchikanti L, Cash KA, McManus CD. Preliminary results of a randomized, equivalence trial of fluoroscopic caudal epidural injections in managing chronic low back pain: Part 4 - Spinal stenosis. Pain Physician 2008;11(6):833-48.
Mariconda 2002 {published data only}
  • Mariconda M, Fava R, Gatto A, Longo C, Milano C. Unilateral laminectomy for bilateral decompression of lumbar spinal stenosis: a prospective comparative study with conservatively treated patients. Journal of Spinal Disorders & Techniques 2002;15(1):39-46.
Mathews 1975 {published data only}
  • Mathres JA, Hickling J. Lumbar traction: a double-blind controlled study for sciatica. Rheumatology and Rehabilitation 1975;14(4):222-5.
Ng 2005 {published data only}
  • Ng L, Chaudhary N, Sell P. The efficacy of corticosteroids in periradicular infiltration for chronic radicular pain: a randomized, double-blind, controlled trial. Spine 2005;30(8):857-62.
Oguz 2007 {published data only}
  • Oguz H, Levendoglu F, Ogun TC, Tantug A. Loading is more effective than posture in lumbar spinal stenosis: a study with treadmill equipment. European Spine Journal 2007;16(7):913-8.
Owlia 2007 {published data only}
  • Owlia MD, Salimzadeh A, Alishiri G, Haghighi A. Comparison of two doses of corticosteroid in epidural steroid injection for lumbar radicular pain. Singapore Medical Journal 2003;48(3):241-5.
Paker 2005 {published data only}
  • Paker N, Turkmen C, Bugdayci D, Tekdos D, Erbil M. Comparison of conservative and surgical treatment results in lumbar spinal stenosis. Turkish Neurosurgery 2005;15(4):182-4.
Price 2000 {published data only}
Price 2005 {published data only}
  • Price C, Arden N, Coglan L, Rogers P. Cost-effectiveness and safety of epidural steroids in the management of sciatica. Health Tecnology Assessment 2005;9(33):1-58.
Riew 2000 {published data only}
  • Riew KD, Yin Y, Gilula L, Bridwell KH, Lenke LG, Lauryssen C, et al. The effect of nerve-root injections on the need for operative treatment of lumbar radicular pain. A prospective, randomized, controlled, double-blind study. The Journal of Bone and Joint Surgery. American volume 2000;82-A(11):1589-93.
Riew 2008 {published data only}
  • Riew KD, Park JB, Cho Y, Gilula L, Patel A, Lenke L, et al. Nerve root blocks in the treatment of lumbar radicular pain. A minimum five-year follow-up. The Journal of Bone and Joint Surgery. American volume 2006;88(8):1722-5.
Sell 2006 {published data only}
  • Sell P, Tafazal S, Ng L. Randomised double blinded placebo-controlled trial on the effectiveness of nasal salmon calcitonin in the treatment of lumbar spinal stenosis. European Spine Journal 2006;15 Suppl 4:S487.
Simopoulos 2003 {published data only}
  • Simopoulos TT, Kraemer J, Nagda JV, Aner M, Bajwa ZH. Response to pulsed and continuous radiofrequency lesioning of the dorsal root ganglion and segmental nerves in patients with chronic lumbar radicular pain. Pain Physician 2003;11(2):137-44.
Thackeray 2009 {published data only}
  • Thackeray A, Fritz J, Brennan GP, Zaman FM. Effectiveness of physical therapy as an adjunct to a selective nerve root block for treatment of lumbar radicular pain. Journal of Orthopaedic and Sports Physical Therapy 2009;39(1):A16-7.
Wiilson-MacDonald 2005 {published data only}
  • Wilson-Macdonald J, Burt G, Griffin D, Glynn C. Epidural steroid injection for nerve root compression. The Journal of Bone and Joint Surgery - Series B 2005;87(3):352-5.
Wu 2003 {published data only}
  • Wu Y, Li JS, Jia LS. Comparing the therapeutic efficacy between conservative therapy and unilateral laminectomy for bilateral decompression of lumbar spinal stenosis. The Journal of Cervicodynia & Lumbodynia 2003;24(4):210-3.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
AHRQ 2001
  • Treatment of degenerative lumbar spinal stenosis. Evidence report/technology assessment no. 32. Agency for Healthcare Research and Quality 2001; Vol. Report No.: AHRQ01-E048.
Boden 1990
  • Boden SD, Davis DO, Dina TS, Patronas NJ, Wiesel SW. Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation. The Journal of Bone and Joint Surgery. American volume 1990;72(3):403-8.
Boutron 2005
  • Boutron I, Moher D, Tugwell P, Giraudeau B, Poiraudeau S, Nizard R, et al. A checklist to evaluate a report of a non pharmacological trial (CLEAR NPT) was developed using consensus. Journal of Clinical Epidemiology 2005;58:1233-40.
Brouwer 2004
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Chou 2007
  • Chou R, Qaseem A, Snow V, Casey D, Cross J, Shekelle P, et al. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine 2007;147(7):478-91.
Chou 2009
  • Chou R, Loeser JD, Owens DK, Rosenquist RW, Atlas SJ, Baisden J, et al. Interventional therapies, surgery, and interdisciplinary rehabilitation for low back pain: an evidence-based clinical practice guideline from the American Pain Society. Spine 2009;34(10):1066-77.
Chou 2009b
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Comer 2009
  • Comer CM, Redmond AC, Bird HA, Conaghan PG. Assessment and management of neurogenic claudication associated with lumbar spinal stenosis in a UK primary care musculoskeletal service: a survey of current practice among physiotherapists. BMC Musculoskeletal Disorders 2009;10:121.
Comer 2011
  • Comer CM, Conaghan PG, Tennant A. Internal construct validity of the Swiss Spinal Stenosis Questionnaire: Rasch analysis of a disease-specific outcome measure for lumbar spinal stenosis. Spine 2011;36(23):1967-76.
Deyo 2010
  • Deyo RA, Mirza SK, Martin BI, Kreuter W, Goodman DC, Jarvik JG. Trends, major medical complications and charges associated with surgery for lumbar spinal stenosis in older adults. JAMA 2010;303(13):1259-65.
Fairbank 1980
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Furlan 2009
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Genevay 2010
  • Genvay S, Atlas SJ, Katz JN. Variation in eligibility criteria from studies of radiculopathy due to a herniated disc and of neurogenic claudication due to lumbar spinal stenosis: a structured literature review. Spine 2010;35(7):803-11.
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Iwamoto 2010
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Kabir 2010
Katz 2008
Kovacs 2011
Melzack 2005
Podichetty 2011
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Stucki 1996
Suri 2010
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Tomkins 2009
  • Tomkins CC, Battie MC, Rogers T, Jiang H, Petersen S. A criterion measure of walking capacity in lumbar spinal stenosis and its comparison with a treadmill protocol. Spine 2009;34(22):2444-9.
van Tulder 2003
  • van Tulder M, Furlan A, Bombardier C, Bouter L, Editorial Board Cochrane Back Review Group. Updated method guidelines for systemic reviews in the Cochrane Collaboration Back Review Group. Spine 2003;28(12):1290-9.
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  • Winter CC, Brandes M, Muller C, Schubert T, Ringling M, Hillmann A, et al. Walking ability during daily life in patients with osteoarthritis of the knee or the hip and lumbar spinal stenosis: a cross-sectional study. BMC Musculoskeletal Disorders 2010;11:233.

References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Ammendolia 2012