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However, leg pain relief and greater back-related functional status continued to favor those initially receiving surgical treatment. [75] A large study of spinal stenosis from Finland found the prognostic factors for ability to work after surgery were ability to work before surgery, age under 50 years, and no prior back surgery. The very long ...
Treatment options for NC depends on the severity and cause of the condition, and may be nonsurgical or surgical. Nonsurgical interventions include drugs, physical therapy, and spinal injections. [10] Spinal decompression is the main surgical intervention and is the most common back surgery in patients over 65. [1]
Surgery is typically only done if other treatments are not effective, with the usual procedure being a decompressive laminectomy. [7] Spinal stenosis occurs in as many as 8% of people. [4] It occurs most commonly in people over the age of 50. [9] Males and females are affected equally often. [10]
After age 50 or 60, osteoarthritic degeneration (spondylosis) or spinal stenosis are more likely causes of low back pain or leg pain. 4.8% of males and 2.5% of females older than 35 experience sciatica during their lifetime. Of all individuals, 60% to 80% experience back pain during their lifetime. In 14%, pain lasts more than two weeks.
Laminectomy is an open or minimally invasive surgical procedure in which a portion of the posterior arch of the vertebrae and/or spinal ligaments is removed from the spine to alleviate the pressure on the spinal canal contents. This procedure is usually performed when decompression of more than one nerve root is needed.
This is the most frequent cause after age 50. [13] Sciatic pain due to spinal stenosis is most commonly brought on by standing, walking, or sitting for extended periods of time, and reduces when bending forward. [13] [15] However, pain can arise with any position or activity in severe cases. [15] The pain is most commonly relieved by rest. [15]
Surgical treatment that includes a laminectomy is the most effective remedy for severe spinal stenosis; however, most cases of spinal stenosis are not severe enough to require surgery. When the disabling symptoms of spinal stenosis are primarily neurogenic claudication and the laminectomy is done without spinal fusion, there is generally a more ...
Discectomy (the partial removal of a disc that is causing leg pain) can provide pain relief sooner than nonsurgical treatments. [17] Discectomy has better outcomes at one year but not at four to ten years. [17] The less invasive microdiscectomy has not been shown to result in a different outcome than regular discectomy. [17]
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