Lumbar spinal stenosis is a frequently-encountered condition, particularly in the elderly, which can lead to significant pain and functional limitations. The prevalence of this condition is growing as the population continues to age. Substantial controversy presently exists regarding the management of lumbar spinal stenosis. Surgery has traditionally been the treatment of choice, although a trial of non-surgical care is typically recommended prior to surgery. The most effective means of non- surgical treatment has not been identified, although a 'standard' regimen has been developed. There is presently no evidence in the literature regarding the relative effectiveness of surgical versus non-surgical treatment of lumbar spinal stenosis, or the efficacy of the standard non-surgical treatment approach. This randomized clinical trial proposes to compare surgical versus non-surgical treatment of lumbar spinal stenosis. The results of this study should help to clarify which treatment strategies are the most effective for patients with lumbar spinal stenosis.

Agency
National Institute of Health (NIH)
Institute
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Type
Research Project (R01)
Project #
3R01AR045622-01A1S1
Application #
6487960
Study Section
Geriatrics and Rehabilitation Medicine (GRM)
Program Officer
Panagis, James S
Project Start
2000-09-01
Project End
2004-08-31
Budget Start
2000-09-01
Budget End
2001-08-31
Support Year
1
Fiscal Year
2001
Total Cost
$27,180
Indirect Cost
Name
University of Pittsburgh
Department
Other Health Professions
Type
Schools of Allied Health Profes
DUNS #
053785812
City
Pittsburgh
State
PA
Country
United States
Zip Code
15213
Delitto, Anthony; Piva, Sara R; Moore, Charity G et al. (2015) Surgery Versus Nonsurgical Treatment of Lumbar Spinal Stenosis. Ann Intern Med 163:397-8
Delitto, Anthony; Piva, Sara R; Moore, Charity G et al. (2015) Surgery versus nonsurgical treatment of lumbar spinal stenosis: a randomized trial. Ann Intern Med 162:465-73
Atlas, Steven J; Delitto, Anthony (2006) Spinal stenosis: surgical versus nonsurgical treatment. Clin Orthop Relat Res 443:198-207