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Interspinous process devices for treatment of degenerative lumbar spine stenosis: A systematic review and meta-analysis.


ABSTRACT:

Background

Degenerative lumbar spinal stenosis is a condition related to aging in which structural changes cause narrowing of the central canal and intervertebral foramen. It is currently the leading cause for spinal surgery in patients over 65 years. Interspinous process devices (IPDs) were introduced as a less invasive surgical alternative, but questions regarding safety, efficacy, and cost-effectiveness are still unanswered.

Objectives

The aim of this study was to provide complete and reliable information regarding benefits and harms of IPDs when compared to conservative treatment or decompression surgery and suggest directions for forthcoming RCTs.

Methods

We searched MEDLINE, EMBASE, Cochrane Library, Scopus, and LILACS for randomized and quasi-randomized trials,

SUBMITTER: Poetscher AW 

PROVIDER: S-EPMC6034833 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature