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RCT
ACE Report #8949
Ace Report Cover Spine

No added benefit of fusion to decompression for patients with lumbar spinal stenosis


Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:N/A

A Randomized, Controlled Trial of Fusion Surgery for Lumbar Spinal Stenosis

N Engl J Med. 2016 Apr 14;374(15):1413-23

Contributing Authors: P Försth G Ólafsson T Carlsson A Frost F Borgström P Fritzell P Öhagen K Michaëlsson B Sandén

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Synopsis

247 patients with lumbar spinal stenosis, with or without spondylolisthesis, were randomized to decompression plus fusion or decompression alone. The purpose of this study was to evaluate clinical outcomes according to the Oswestry Disability Index, the National Swedish Register for Spine Surgery questionnaire, the Zurich Claudication Questionnaire, and the European Quality of Life-5 Dimensions (E...

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