AI Article Synopsis
- - Lumbar spinal stenosis (LSS) is a painful condition that causes back and leg pain, and a new minimally invasive treatment aims to reduce pain by debulking a specific ligament, but details about its effectiveness and safety vary across studies.
- - A narrative review of clinical trials shows this treatment significantly reduces visual analog scale (VAS) scores for pain and Oswestry Disability Index (ODI) scores for function, with an effective rate reported between 57.1% and 88%, and follows up to two years indicating lasting benefits.
- - Despite its potential, the review highlights a lack of high-quality research and uncertainty surrounding the long-term effectiveness of this treatment, suggesting it as a suitable option for LSS patients who
Article Abstract
Background: Lumbar spinal stenosis (LSS) is a common pain condition that causes lumbar back pain, radiating leg pain, and possible functional impairment. is an emerging minimally invasive treatment for LSS. It is an image-guided percutaneous procedure designed to debulk hypertrophied ligamentum flavum. However, the exact short- and long-term efficacy, safety profile, indication criteria, and certain procedure details reported in medical literature vary.
Objective: This narrative review was to elucidate efficacy, safety profile, certain procedure details, advantages, and limitations of
Study Design: This is a narrative review.
Setting: All included articles are clinic trials including analytic studies and descriptive studies.
Methods: PubMed, Cochrane Library, and Scopus were searched. Only clinical trials of procedure were included. Information of indications, contraindications, VAS scores, ODI scores, effective rate, efficacy durations, and certain procedure details was focused on.
Results: According to the literature, for the procedure, the VAS score could be reduced from a pre-treatment level of 6.3-9.6 to a post-treatment level of 2.3-5.8. The ODI score could be reduced from a pre-treatment level of 38.8-55.3 to a post-treatment level of 27.4-39.8. The effective rate of the procedure was reported to be 57.1%-88%. A 2-year postoperative stability of efficacy was also supported. One RCT study testified superior efficacy of over epidural steroid injection.
Limitations: There is few high-quality literature in the review. Moreover, the long-term efficacy of cannot be revealed according to the current literature.
Conclusion: Based on the reviewed literature, is an effective and safe procedure. can reduce pain intensity and improve functional status significantly. Therefore, it is a preferable option for LSS patients who failed conservative treatments, but not for those who require immediate invasive decompression surgery.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10637222 | PMC |
| http://dx.doi.org/10.2147/JPR.S428112 | DOI Listing |
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