Treatment of lumbar canal stenosis in patients with compensated sagittal balance

Mohsinaly, Yann; Boissière, Louis; Maillot, Cédric; Pesenti, Sébastien; Huec, Jean-Charles Le

doi:10.1016/j.otsr.2021.102861

Cited by 11 publications

(1 citation statement)

References 30 publications

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“…Effects on both static and dynamic balance parameters in patients have been described in which both static and dynamic balance parameters are affected in patients. Improvements in post-operative balance parameters were found in some studies [16,17]. In our study, an increase in post-surgical balance parameters in both groups was found, but this effect was more significant in the exercise group.…”

Section: Discussionsupporting

confidence: 47%

Another perspective on lumber spinal stenosis treatment: Should exercise be added to pre-surgical treatment?

Tunçkale¹,

Sarıfakıoğlu²,

Kavasoğlu³

et al. 2022

J Surg Med

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Background/Aim: Lumbar spinal stenosis (LSS) is a disease that affects the quality of life of elderly individuals. Most patients undergoing surgery for lumbar spinal stenosis try physical therapy before opting to undergo surgery. The effect of pre-surgical exercise treatment is unclear. This study aimed to examine the effect of pre-surgical exercise treatment on functionality, quality of life, and balance. Methods: Patients between the ages of 40 and 70 who were scheduled for surgery based on a diagnosis of LSS were included in this cross-sectional study. The patients were randomly divided into two groups for which exercise therapy was added to the first group before the surgery, and the control group followed in the normal process. Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), Beck Depression and Anxiety Inventory (BDI and BAI, respectively), Berg Balance Scale (BBS), static and dynamic balance measurements holding hands on and off on the balance device (SBHON, DBHON, DBHOFF) and the SF-36 quality of life scale tests were administered pre-operatively and eight weeks post-operatively, and the results were compared between the two groups that did and did not exercise before surgery. Results: Post-operative SBHON values were found to be significantly lower in the exercise group compared to the other group (P < 0.001). While no differences between pre- and post-operative BBS, DBHON, and DBHOFF values in the non-exercising group were detected, a favorable significant difference in the exercising group was found (all P < 0.001). Conclusion: The addition of pre-surgical exercise therapy to patients can lead to improvements in the success of surgery and contribute to the functionality of patients with LSS diagnosis.

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Section: Discussionsupporting

confidence: 47%