Systematic review of treatment for Lumbar spinal stenosis

Publikation: Konferencebidrag uden forlag/tidsskriftPosterForskningpeer review

Abstrakt

Purpose
To summarise recommendations from a national clinical guideline from the Danish Health Authority about 10 surgical and non-surgical interventions for lumbar spinal stenosis in patients above 65 years of age.
Methods
A multidisciplinary working group formulated recommendations based on the GRADE approach.
Results
Seven of the recommendations were based on randomised controlled trials and three on professional consensus. Management of lumbar spinal stenosis should include supervised exercise, postsurgical supervised exercise and decompression surgery. The guideline recommend against manual therapy, paracetamol, NSAIDs, opioids, neurogenic pain medication, muscle relaxants and decompression combined with instrumented stabilising fusion surgery.
Conclusion
The recommendations are based on low to very low quality of evidence and professional consensus, and the
true treatment effect may therefore be different from the estimated effects, which is why results should be interpreted with caution. The working groups recommends intensified research in relation to all aspects of management of lumbar spinal stenosis should be intensified.
OriginalsprogEngelsk
Publikationsdato27. okt. 2017
StatusUdgivet - 27. okt. 2017
BegivenhedDansk Ortopædkirurgisk Selskabs Kongres 2017 - SAS Radisson Blu, København, Danmark
Varighed: 25. okt. 201727. okt. 2017
http://www.ortopaedi.dk/dos-kongressen-2017/

Konference

KonferenceDansk Ortopædkirurgisk Selskabs Kongres 2017
LokationSAS Radisson Blu
LandDanmark
ByKøbenhavn
Periode25/10/201727/10/2017
Internetadresse

Citationsformater