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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Dec 18, 2025; 16(12): 109963
Published online Dec 18, 2025. doi: 10.5312/wjo.v16.i12.109963
Published online Dec 18, 2025. doi: 10.5312/wjo.v16.i12.109963
One-year follow-up of conservative and surgical treatment results for patients diagnosed with lumbar spinal stenosis
Aylin Ayyildiz, Department of Physical Medicine and Rehabilitation, Çam and Sakura City Hospital, İstanbul 34100, Türkiye
Adem Yilmaz, Department of Neurosurgery, Hamidiye Etfal Training and Research Hospital, İstanbul 34100, Türkiye
Samet Erinç, Department of Orthopedics and Traumatology, Medicalpark Hospital, İstanbul 34100, Türkiye
Levent Aydin, Department of Neurosurgery, Medicana International Hospital, Istanbul 34100, Türkiye
Hakan Ayyıldız, Department of Radiology, Çam and Sakura City Hospital, İstanbul 34100, Türkiye
Figen Yilmaz, Department of Physical Medicine and Rehabilitation, Hamidiye Etfal Teaching and Research Hospital, Istanbul 34360, Türkiye
Author contributions: Yilmaz F, Ayyildiz A, Yilmaz A, Ayyıldız H designed research; Ayyildiz A, Erinç S, Aydin L performed research; Ayyıldız H, Ayyildiz A, Erinç S, Aydin L contributed analytic tools; Ayyıldız H, Yilmaz F, Yilmaz A analyzed data; Ayyildiz A, Yilmaz F, Yilmaz A, Ayyıldız H wrote paper.
Institutional review board statement: Ethical approval dated 30.04.2019 and numbered 2373 was obtained from the Ethics Committee of Hamidiye Etfal Training and Research Hospital for the study.
Clinical trial registration statement: Clinicaltrial.gov, No. NCT04379765.
Informed consent statement: The patients were informed about the content, purpose, and application of the study and their informed consent was obtained.
Conflict-of-interest statement: No conflicts of interest/competing interests have been reported by the authors or by any individuals in control of the content of this article.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: The data that support the findings of this study are available from the corresponding author upon reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Aylin Ayyildiz, MD, Department of Physical Medicine and Rehabi
Received: May 27, 2025
Revised: June 15, 2025
Accepted: October 20, 2025
Published online: December 18, 2025
Processing time: 204 Days and 23.2 Hours
Revised: June 15, 2025
Accepted: October 20, 2025
Published online: December 18, 2025
Processing time: 204 Days and 23.2 Hours
Core Tip
Core Tip: Lumbar spinal stenosis is a common cause of pain and functional limitation in older adults. Surgery is frequently performed, but its long-term superiority over conservative treatments remains controversial. This study found no significant long-term difference between surgical and conservative treatments regarding pain relief, walking distance, and functionality. However, the surgical group showed greater improvements in disability scores. These findings support the use of supervised physical therapy as an effective first-line treatment, potentially reducing the need for surgery.