Long-term Follow-up of Conservative and Surgical Treatment Results of Patients With Lumbar Spinal Stenosis

Study Overview
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Brief Summary
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Total of 60 patients with a diagnosis of spinal stenosis is planned for 30 patients, with physical therapy modeling and exercise, and 30 patients with surgical treatment. Patients will be evaluated by the same physician 5 times, before early primary treatment, 1st month, 3rd month, 6th month and 12th month after treatment.

Detailed Description
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Patients between 40-85 years old who are hospitalized and treated with the diagnosis of LSS in Physical Medicine and rehabilitation, Orthopedics and Neurosurgery Clinics will be included in the study. The diagnosis of LSS will be made by MR and / or CT and neurogenic claudication history. Total of 60 patients with a diagnosis of spinal stenosis is planned for 30 patients, with physical therapy modeling and exercise, and 30 patients with surgical treatment, and the duration of the study is considered to be 24 months. Patients will be evaluated by the same physician 5 times, before early primary treatment, 1st month, 3rd month, 6th month and 12th month after treatment. Clinical evaluation will be done by the same physician. In patients with spinal stenosis, pain (movement, rest, night) VAS, functional status walking distance and ILBDI (Istanbul waist pain disability index) inquiry form, Nottingham Extended Life Profile will be used.

Official Title
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Long-term Follow-up of Conservative and Surgical Treatment Results of Patients With Lumbar Spinal Stenosis

Conditions
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Lumbar Spinal Stenosis

Intervention / Treatment
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* Behavioral: Exercise and physical therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: To be between 40-85 years old Defining neurogenic claudication in patient anamnesis Diagnosis of lumbar stenosis in MR and / or CT imaging The duration of the symptom should be at least 4 weeks Other causes of low back pain have been ruled out Exclusion Criteria: Having had lumbar surgery before Physical therapy for lumbar spinal stenosis less than 3 months ago Any lumbar injection has been applied before Patients with inflammatory low back pain Patients with spinal stenosis due to spondylolysis and / or spondylolisthesis Patients with a history of trauma and suspected Vertebral fracture

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Grup 1: Exercise and physical therapy programme<br>30 patients with lumbar spinal stenosis will receive hot pack, transcutaneous electrical nerve stimulation and deep warming as a physical therapy modality , and lumber flexion and strengthening exercises were performed for 7 times/week for 3 weeks. | Behavioral: Exercise and physical therapy<br>* Decompression operation<br>* Other names: Surgery;|
| Grup 2: Surgical procedure programme<br>30 patients with lumbar spinal stenosis underwent decompression operation of the relevant level. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Clinical Evaluation VAS (visual analog scale) for pain assessment | Clinical evaluation will be done by the same physician. In patients with spinal stenosis, VAS (visual analog scale) for pain assessment will be used. | 1st month | 
| Clinical Evaluation 2 functional status walking distance | In patients with spinal stenosis, functional status walking distance will be used. | 1st month | 
| Clinical Evaluation 3 Istanbul waist pain disability index | In patients with spinal stenosis, ILBDI (Istanbul waist pain disability index) form will be used. | 1st month | 
| Clinical Evaluation 4 Nottingham Extended Life Profile | In patients with spinal stenosis, Nottingham Extended Life Profile will be used. | 1st month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Clinical Evaluation 5 | In patients with spinal stenosis, VAS will be used in 3rd , 6th and 12th month. | 12th month | 
| Clinical Evaluation 6 | In patients with spinal stenosis, functional status walking distance will be used in 3rd , 6th and 12th month. | 12th month | 
| Clinical Evaluation 7 | In patients with spinal stenosis, ILBDI (Istanbul waist pain disability index) form will be used in 3rd , 6th and 12th month. | 12th month | 
| Clinical Evaluation 8 | In patients with spinal stenosis, Nottingham Extended Life Profile will be used in 3rd , 6th and 12th month. | 12th month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Lumbar Spinal Stenosis, Rehabilitation, Surgery, Exercise