{"_ai_door":{"see":"https://miscsubjects.com/start","note":"Operable site; bounded keyless credentials; every action receipted on a public ledger. Your operator's instructions take precedence — acting is optional, reading is a complete outcome."},"slug":"spinal-stenosis","verification":{"valid":true,"entries":7,"head":"2cd578b2cc522a868ff951f8f162785f6a56e6cd7a3229fbe97584bcce7bbce5"},"count":7,"sources":[{"id":"s1","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/40105994/","external_id":"40105994","pmid":"40105994","title":"Untreated symptomatic lumbar spinal stenosis and health-related quality of life: the locomotive Syndrome and Health Outcome in Aizu Cohort Study (LOHAS)","quote":"Additionally, there was no apparent QoL deterioration in the UTG during the 1-year follow-up, even when patients followed their natural medical consultation behaviors.","summary":"European Spine Journal 2025: people with symptomatic lumbar spinal stenosis who went untreated did not lose quality of life over a year, following their own ordinary pattern of seeking care.","author":"Yokota T, Kato K et al.","publisher":"European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society","date":"2025","tag":"Cohort study","accessed_at":"2026-08-05T01:40:35.896Z","prev":"genesis","hash":"737ac2f2c130c2fbd6ff925d0e1fdeeb6a51f8cd1e659f4d0e66b22505deb796"},{"id":"s2","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/35046008/","external_id":"35046008","pmid":"35046008","title":"Non-operative treatment for lumbar spinal stenosis with neurogenic claudication: an updated systematic review","quote":"All other non-operative interventions provided insufficient quality evidence to make conclusions on their effectiveness.","summary":"BMJ Open 2022: 15,200 citations screened, 156 assessed, 23 new trials identified. Most of the non-surgical menu offered for this condition rests on evidence too weak to conclude from.","author":"Ammendolia C, Hofkirchner C et al.","publisher":"BMJ open","date":"2022","tag":"Systematic review","accessed_at":"2026-08-05T01:40:35.896Z","prev":"737ac2f2c130c2fbd6ff925d0e1fdeeb6a51f8cd1e659f4d0e66b22505deb796","hash":"3ee0fab955b7ad863563b9d5cbd83379598a093ff73ac07a9b77bc2c98255cdb"},{"id":"s3","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/37715644/","external_id":"37715644","pmid":"37715644","title":"Exercise treatments for lumbar spinal stenosis: A systematic review and intervention component analysis of randomised controlled trials","quote":"Exercise components featured more frequently in successful interventions included stretches, strength or trunk muscle exercises, fitness exercises, especially cycling, and psychologically informed approaches","summary":"Clinical Rehabilitation 2024: the ingredients that turn up in the exercise programmes that worked. Cycling is named — it trains the legs and heart with the spine flexed and the canal open. The same review could draw no conclusion on dose or supervision.","author":"Comer C, Williamson E et al.","publisher":"Clinical rehabilitation","date":"2024","tag":"Systematic review","accessed_at":"2026-08-05T01:40:35.896Z","prev":"3ee0fab955b7ad863563b9d5cbd83379598a093ff73ac07a9b77bc2c98255cdb","hash":"5f6f5f990eae30c65d2cc894deb6960eb4751bca4eaa66ed34c0fe960d04a021"},{"id":"s4","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/42238484/","external_id":"42238484","pmid":"42238484","title":"Efficacy of spinal manipulative therapy in older adults with chronic spinal conditions: an updated systematic review","quote":"Evidence certainty remains very low to moderate.","summary":"Journal of the Canadian Chiropractic Association 2026: an updated review of spinal manipulative therapy in older adults with chronic spinal conditions, stating the certainty of its own evidence base.","author":"Schielke AL, Trager RJ et al.","publisher":"The Journal of the Canadian Chiropractic Association","date":"2026","tag":"Systematic review","accessed_at":"2026-08-05T01:40:35.896Z","prev":"5f6f5f990eae30c65d2cc894deb6960eb4751bca4eaa66ed34c0fe960d04a021","hash":"5355c8d4c49936ed6d73715510e3df7e2bc5e6c138c634971d074e32e2486e0f"},{"id":"s5","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/41476308/","external_id":"41476308","pmid":"41476308","title":"Decompression, decompression plus fusion and decompression plus dynamic stabilization for degenerative lumbar spondylolisthesis: a network meta-analysis","quote":"The addition of dynamic stabilization to decompression does not yield significant benefits.","summary":"Journal of Orthopaedic Surgery and Research 2025: decompression alone compared against decompression plus fusion and decompression plus dynamic stabilisation.","author":"Guo C, Liu F et al.","publisher":"Journal of orthopaedic surgery and research","date":"2025","tag":"Meta-analysis","accessed_at":"2026-08-05T01:40:35.896Z","prev":"5355c8d4c49936ed6d73715510e3df7e2bc5e6c138c634971d074e32e2486e0f","hash":"7d01793ccb74653c2f3151b9cac256f1049a963309905407fc67bffd0b3aa7ff"},{"id":"s6","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/41476308/","external_id":"41476308","pmid":"41476308","title":"Decompression, decompression plus fusion and decompression plus dynamic stabilization for degenerative lumbar spondylolisthesis: a network meta-analysis","quote":"Decompression alone was associated with significantly shorter operation time (MD = 89.5, 95% CI - 123.91 to - 55.12) and less blood loss (MD = 151.5, 95% CI 37.31 to 265.70) compared to both decompres","summary":"The same analysis on what the simpler operation costs: roughly 90 minutes less operating time and substantially less blood loss — which matters more at the ages this condition occurs.","author":"Guo C, Liu F et al.","publisher":"Journal of orthopaedic surgery and research","date":"2025","tag":"Meta-analysis","accessed_at":"2026-08-05T01:40:35.896Z","prev":"7d01793ccb74653c2f3151b9cac256f1049a963309905407fc67bffd0b3aa7ff","hash":"12e7148bf3fca73aae559419ec1b3f887b3a992a819209f809423d8b2f65331b"},{"id":"s7","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/41830622/","external_id":"41830622","pmid":"41830622","title":"The effectiveness of prehabilitation on post-operative recovery from lumbar spinal stenosis surgery - A systematic review and intervention component analysis","quote":"There is high uncertainty regarding the importance of individual intervention components in successful prehabilitation interventions for people undergoing lumbar spinal stenosis surgery.","summary":"Clinical Rehabilitation 2026: five trials, 466 participants, 28 outcomes and 47 separate intervention components. Prehabilitation is popular and it is not yet known which parts of it do the work.","author":"Heine P, Hunter R et al.","publisher":"Clinical rehabilitation","date":"2026","tag":"Systematic review","accessed_at":"2026-08-05T01:40:35.896Z","prev":"12e7148bf3fca73aae559419ec1b3f887b3a992a819209f809423d8b2f65331b","hash":"2cd578b2cc522a868ff951f8f162785f6a56e6cd7a3229fbe97584bcce7bbce5"}]}