The Journal of Bone and Joint Surgery (American). 2008;90:2553.
doi:10.2106/JBJS.9011.ebo1
© 2008 The Journal of Bone and Joint Surgery, Inc.
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Evidence-Based Orthopaedics

Surgery Reduced Pain at Two Years but Did Not Differ from Nonsurgical Treatment for Physical Function in Lumbar Spinal Stenosis

Weinstein JN, Tosteson TD, Lurie JD, Tosteson ANA, Blood E, Hanscom B, Herkowitz H, Cammisa F, Albert T, Boden SD, Hilibrand A, Goldberg H, Berven S, An H, for the SPORT Investigators. Surgical versus Nonsurgical Therapy for Lumbar Spinal Stenosis. N Engl J Med. 2008 Feb 21;358:794-810.[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.

Question: In patients with spinal stenosis without degenerative spondylolisthesis, is surgery more effective than nonsurgical treatment?

Design: Randomized (allocation concealed)*, blinded (data safety and monitoring committee)*, controlled trial with 2-year follow-up (Spine Patient Outcomes Research Trial [SPORT]).

Setting: 13 medical centers in 11 states in the United States.

Patients: 289 patients who had a history of neurogenic claudication or radicular leg symptoms for ≥12 weeks and lumbar spinal stenosis at ≥1 level confirmed by imaging. Patients with lumbar instability were excluded. 88% of patients completed follow-up at 6 months, 85% at 1 year, and 76% at 2 years. 278 patients (mean age, 66 y; 62% men) . . . [Full Text of this Article]

Dan M. Spengler, MD

Vanderbilt University Medical Center
Nashville, Tennessee


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