SPINE
No significant benefit in outcome with addition of fusion to decompression for lumbar stenosis
Pain Physician. 2018 Jan;21(1):1-8Five randomized controlled trials were included in this meta-analysis and systematic review comparing decompression with and without fusion for the treatment of lumbar spinal stenosis. Pooled analyses of disability at 2 years postoperatively and reoperation rate demonstrated no significant differences between groups. Perioperative outcomes, including operative time, blood loss, and length of hospital stay, significantly favoured decompression alone compared to decompression plus fusion.
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