Severe lumbar spinal stenosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ? According to the diagnostic criteria of "Practical Orthopedics", clinical symptoms are characterized by compression of the dural sac and bilateral or bilateral nerve roots caused by spinal canal stenosis, intermittent neurogenic claudication with or without lower limb pain and numbness; ? Diagnosed by imaging as lumbar spinal stenosis, classified according to Schizas criteria as severe lumbar spinal stenosis, clinically manifested as disappearance of epidural fat and dural sac morphology, inability to recognize the cauda equina nerve bundle; ? Those who have received formal conservative treatment for more than 3 months without improvement have indications for surgery; ? The clinical data is complete.
Exclusion criteria
Exclusion criteria: ? Merge moderate to severe lumbar spondylolisthesis, lumbar deformities or tumors, or merge with other vascular diseases; ? Patients with cauda equina syndrome; ? Severe spinal infection; ? There are contraindications for surgery or anesthesia; ? Poor cardiopulmonary function and inability to tolerate surgery; ? Mental abnormalities or refusal to receive follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analog Scale;Oswestry Disability Index, ODI ;Japanese Orthopaedic Association,JOA; | — |
Secondary
| Measure | Time frame |
|---|---|
| MacNab scale;the responsible segmental spinal canal; | — |
Countries
China
Contacts
The Sixth Medical Center of the General Hospital of the People's Liberation Army