SURGICAL VS. CONSERVATIVE TREATMENT FOR DEGENERATIVE LUMBAR STENOSIS

Objectives:To compare the clinical outcomes between patients with degenerative lumbar stenosis who were treated by decompression with those awaiting the same kind of treatment for the disease.Methods:Retrospective study which divided patients with degenerative lumbar stenosis with surgical indication in 2 groups, operated and awaiting the procedure. The Oswestry Disability Index (ODI) questionnaire, visual analog scale and SF36 were applied.Results:Twelve operated patients and 18 awaiting the procedure were included. The average age of those operated was 59 years (43-70), and 55 (37-82) (p=0.3) for those awaiting surgery. The operated group had a mean ODI of 38.67 against 59.72 (p0.05) and 7.22 (p0.05), respectively.Conclusion:The operated patients showed improvement of referred pain in the lower limbs (leg VAS) and improved function (Oswestry), however showed no significant change in quality of life according to SF36 scale and low back pain (lumbar VAS) were found.