این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Journal of Research in Medical Sciences، جلد ۲۰۱۴، شماره ۰۱، صفحات ۰-۰
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Decision Making Process in Patients With Lumbar Spinal Canal Stenosis
چکیده انگلیسی مقاله Background: To develop a strategy to determine a sound method for decision making in lumbar spinal canal stenosis (LSCS), based on postoperative patient satisfaction. Materials and Methods: A sample of patients with LSCS was studied to indicate those who underwent surgery and those who received conservative treatment. The SSS, the NCOS, and the ODI tools were recorded. Satisfaction of patients who underwent surgery or conservative was evaluated prospectively using the satisfaction Index presented by Stucki et al. Then, all case records were assessed for morphology grade and dural sac cross-sectional surface area (DSCA) on MRI in order to indicate who benefited from surgery or conservative and who did not. Results: The mean age of 357 patients was 57.5 (10.9) years. Of these 176 patients underwent surgery. Post-treatment satisfaction was found for surgical group patients (93.2%) and conservative group patients (84.5%) at last follow-up. Most patients (86.4%) who underwent surgery identified as having grade C and grade D while those who received conservative treatment were identified as having grade A and grade B (P < 0.01). Overall satisfaction with surgery was found to be higher among patients with Grade D stenosis (95%). Satisfaction by cross-sectional surface area did not show a consistent pattern. However, those with cross-sectional surface area less than 100 mm2 benefited more from surgery. According to the findings a decision matrix was proposed. Conclusion: The findings suggest that the morphology grade and the DSCA jointly are useful parameters for helping clinicians to make decision in order to manage LSCS patients .
کلیدواژه‌های انگلیسی مقاله
نویسندگان مقاله دکترپریسا عظیمی | parisa azimi
department of neurosurgery, shahid beheshti university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

دکتر شیرزاد ازهری | shirzad azhari
department of neurosurgery, shahid beheshti university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

ادوارد c benzel | edward c benzel
department of neurosurgery, shahid beheshti university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

دکتر سهراب شهزادی | sohrab shahzadi
department of neurosurgery, shahid beheshti university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

نشانی اینترنتی http://jrms.mui.ac.ir/index.php/jrms/article/view/9741
فایل مقاله فایلی برای مقاله ذخیره نشده است
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده Review Articles
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات