Coflex interspinous device no extra benefit in spinal stenosis

Coflex interspinous device no extra benefit in spinal stenosis

(HealthDay)—The use of a Coflex interspinous device does not further improve outcomes beyond decompressive surgery for the treatment of symptomatic lumbar spinal stenosis (LSS), according to a study published online in the August issue of the Journal of Spinal Disorders & Techniques.

Alexander Richter, M.D., from the Spine Center Hamburg in Germany, and colleagues compared outcomes of decompressive surgery alone (31 patients) versus decompressive surgery with additional implantation of the Colfex interspinous device (31 patients) for the treatment of symptomatic LSS. Disability and pain scores were measured both preoperatively and postoperatively (at three, six, 12, and 24 months).

The researchers found that in both groups there was significant improvement (P < 0.001) in the scores of the Oswestry Disability Index, the Roland-Morris Disability Questionnaire, the Visual Analog Scale, and the pain-free walking distance at all follow-up points versus baseline. No significant differences were seen in ascertained parameters, including patient satisfaction and subjective operation decision, up to two years after surgery.

"The results of this first prospective controlled study indicate that the additional placement of a Coflex interspinous device does not improve the already good clinical outcome after decompressive for LSS in the 24-month follow-up interval," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Decompression surgery linked to reduced risk of falls

Jul 22, 2014

(HealthDay)—Decompression surgery in patients with lumbar spinal stenosis cuts their risk of falls, compared to similar patients utilizing nonsurgical interventions, according to a study published in the ...

Pre-op depression skews satisfaction after lumbar sx

Jun 04, 2013

(HealthDay)—Preoperative depression influences self-reported patient satisfaction after revision lumbar surgery, independent of the surgery's effectiveness, according to a study published in the May issue ...

Pre-op pregabalin best for pain in spinal surgery

Mar 28, 2014

(HealthDay)—Preoperative pregabalin is superior to either gabapentin or placebo for the relief of pain in patients undergoing lumbar discectomy, according to a study published in the March 15 issue of Spine.

Recommended for you

Restrictions lifted at British bird flu farm

3 hours ago

Britain on Sunday lifted all restrictions at a duck farm in northern England after last month's outbreak of H5N8 bird flu, the same strain seen in recent cases across Europe.

Recorded Ebola deaths top 7,000

Dec 20, 2014

The worst Ebola outbreak on record has now killed more than 7,000 people, with many of the latest deaths reported in Sierra Leone, the World Health Organization said as United Nations Secretary-General Ban ...

Liberia holds Senate vote amid Ebola fears (Update)

Dec 20, 2014

Health workers manned polling stations across Liberia on Saturday as voters cast their ballots in a twice-delayed Senate election that has been criticized for its potential to spread the deadly Ebola disease.

Evidence-based recs issued for systemic care in psoriasis

Dec 19, 2014

(HealthDay)—For appropriately selected patients with psoriasis, combining biologics with other systemic treatments, including phototherapy, oral medications, or other biologic, may result in greater efficacy ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.