Similar clinical results with decompression vs. decompression plus fusion for lumbar spinal stenosis

Study Type:Meta analysis

OE Level Evidence:2

Journal Level of Evidence:N/A

Decompression with fusion is not in superiority to decompression alone in lumbar stenosis based on randomized controlled trials: A PRISMA-compliant meta-analysis

Medicine (Baltimore). 2019 Nov;98(46):e17849.

Contributing Authors: S Xu J Wang Y Liang Z Zhu K Wang Y Qian H Liu

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Synopsis

9 studies (857 patients) were included in this meta-analysis comparing decompression plus fusion to decompression alone for the treatment of lumbar spinal stenosis, with or without degenerative spondylolisthesis (DS). Outcomes of interest included back and leg pain, the Oswestry Disability Index (ODI), EQ-5D scores, patient's satisfaction, walking ability, incidence of complications, rate of adjac...