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Interspinous process device versus standard conventional surgical decompression for lumbar spinal stenosis: randomised controlled trial.

AbstractSTUDY QUESTION:
Is interspinous process device implantation more effective in the short term (eight weeks) than conventional surgical decompression for patients with intermittent neurogenic claudication due to lumbar spinal stenosis?
SUMMARY ANSWER:
The use of interspinous implants did not result in a better outcome than conventional decompression, but the reoperation rate was significantly higher.
WHAT IS KNOWN AND WHAT THIS PAPER ADDS:
Bony decompression and treatment with interspinous process devices are superior to conservative and non-surgical treatment for intermittent neurogenic claudication due to lumbar spinal stenosis. Interspinous implants surgery is not superior to bony decompression, and the reoperation rate is significantly higher.
AuthorsWouter A Moojen, Mark P Arts, Wilco C H Jacobs, Erik W van Zwet, M Elske van den Akker-van Marle, Bart W Koes, Carmen L A M Vleggeert-Lankamp, Wilco C Peul, Leiden-The Hague Spine Intervention Prognostic Study Group (SIPS)
JournalBritish journal of sports medicine (Br J Sports Med) Vol. 49 Issue 2 Pg. 135 (Jan 2015) ISSN: 1473-0480 [Electronic] England
PMID25552601 (Publication Type: Journal Article)
CopyrightPublished by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

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