Surgical or non-surgical treatment of lumbar spinal stenosis (LSS)‎ : compares study

الملخص EN

This study is to assess the effectiveness of decompressive surgery as compared with non-operative measures in the treatment of patients with lumbar spinal stenosis.

prospective study carried out for Forty seven patients with lumber spinal stenosis (LSS) of one level or more categorized into 25patients with surgical group and 22patients with non operative treatment group .

The surgical procedure was laminectomy of stenosed segments and undercutting ligamentum flavum while the group of non operative measurements received non steroid anti inflammatory drugs and physiotherapy.

Result in both groups showed improvement in leg and back pain and walking ability in first 6 months follow up .At one year follow up the difference was clear in improvement of walking ability and pain in surgical group than non operative group.

our conclusion was although the improvements appeared in both group.

The outcome of surgery remain favorable in long time follow up.

we recommended that more than 2 years follow up needed for evaluation of the surgical results.