Decompression With Fusion vs. Decompression Alone for Lumbar Spinal Stenosis: 5-Year RCT Results .
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Decompression alone or decompression with fusion for lumbar spinal stenosis: five-year clinical results from a randomized clinical trial.
Bone Joint J. 2024 Jul 1;106-B(7):705-712.358 patients with lumbar spinal stenosis were randomized to receive decompression alone (n=124) or decompression with fusion (n=123). The primary outcome of interest was the Oswestry disability index (ODI). Secondary outcomes of interest included EuroQol five-dimension health questionnaire (EQ-5D), visual analog scales for leg and back pain (VAS), and four global assessment questions. Outcomes were assessed at the 5-year follow-up post-surgery. There was no significant difference in the primary outcome of interest. There was no significant difference in any of the secondary outcome of interest except EQ-5D. Patient-reported improvement in EQ-5D wasn't reflected in the VAS scores.
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