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Conservative and Surgical Treatment Improves Pain and Ankle-Brachial Index in Patients with Lumbar Spinal Stenosis
- Source :
- Yonsei Medical Journal
- Publication Year :
- 2013
- Publisher :
- Yonsei University College of Medicine, 2013.
-
Abstract
- Purpose The pathological mechanism of lumbar spinal stenosis is reduced blood flow in nerve roots and degeneration of nerve roots. Exercise and prostaglandin E1 is used for patients with peripheral arterial disease to increase capillary flow around the main artery and improve symptoms; however, the ankle-brachial index (ABI), an estimation of blood flow in the main artery in the leg, does not change after treatment. Lumbar spinal nerve roots contain somatosensory, somatomotor, and unmyelinated autonomic nerves. Improved blood flow by medication with prostaglandin E1 and decompression surgery in these spinal nerve roots may improve the function of nerve fibers innervating muscle, capillary, and main vessels in the lower leg, resulting in an increased ABI. The purpose of the study was to examine whether these treatments can improve ABI. Materials and Methods One hundred and seven patients who received conservative treatment such as exercise and medication (n=56) or surgical treatment (n=51) were included. Low back pain and leg pain scores, walking distance, and ABI were measured before treatment and after 3 months of conservative treatment alone or surgical treatment followed by conservative treatment. Results Low back pain, leg pain, and walking distance significantly improved after both treatments (p
- Subjects :
- Adult
Male
medicine.medical_specialty
Nerve root
Spinal stenosis
Lumbar Spinal Nerve Root
Pain
Lumbar vertebrae
Lumbar
medicine
Humans
Ankle Brachial Index
Alprostadil
lumbar
Aged
Aged, 80 and over
spinal stenosis
Lumbar Vertebrae
business.industry
Lumbar spinal stenosis
General Medicine
Middle Aged
Decompression, Surgical
medicine.disease
Low back pain
Surgery
body regions
Treatment Outcome
medicine.anatomical_structure
Ankle-brachial index
Anesthesia
Female
Original Article
medicine.symptom
Spinal Nerve Roots
business
Low Back Pain
Orthopedics & Rehabilitation
Artery
Subjects
Details
- ISSN :
- 19762437 and 05135796
- Volume :
- 54
- Database :
- OpenAIRE
- Journal :
- Yonsei Medical Journal
- Accession number :
- edsair.doi.dedup.....8ef9c01f566b844f4ecdcf8b7f3552c0