Mazanec Daniel J, Podichetty Vinod K, Hsia Augusto
Spine Center, Department of Rheumatic and Immunologic Disease, The Cleveland Clinic Foundation, Ohio 44195, USA.
Cleve Clin J Med. 2002 Nov;69(11):909-17. doi: 10.3949/ccjm.69.11.909.
Although surgery is widely viewed as the definitive therapy for lumbar spinal stenosis, no randomized trials have compared surgical vs medical treatment. One study found that 60% of surgically treated patients improved, compared with 30% of those treated nonsurgically. We believe an initial nonsurgical approach is advisable for most patients.
尽管手术被广泛视为腰椎管狭窄症的决定性治疗方法，但尚无随机试验比较手术治疗与非手术治疗的效果。一项研究发现，接受手术治疗的患者中有60%病情有所改善，而非手术治疗的患者这一比例为30%。我们认为，对于大多数患者而言，初始采用非手术方法是可取的。
