Spinal Stenosis

Surgical and nonsurgical management of lumbar spinal stenosis. Four-year outcomes from the Maine Lumbar Spine Study. Atlas, SJ, Keller RB, Robson D et al. Spine March 1, 2000:25(5), pp 556-62.

From 1990-1992, 148 Maine patients diagnosed with lumbar spinal stenosis elected to have surgical or non-surgical care. 8.3% decided on non-surgical care which consisted of bed rest, back exercises, spinal manipulation, narcotic analgesics and epidural steroids. The outcomes were compared. After four years 70% of the surgically treated patients and 52% of the nonsurgically treated patients reported improvement in their symptoms.

Nonsurgically treated patients reported no significant change in outcome over the four years whereas the initial improvement noted in the surgery group decreased during that time.

Copyright 2004 Koren Publications, Inc. & Tedd Koren, D.C.