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This prospective study compared supervised physical therapy and exercise with micro endoscopic decompression, evaluating walking distance, pain via the visual analog scale, function using ILBDI and SSS, and daily activities over one month and one year. After one year, core outcomes were similar, with conservative care improving SSS functional subscales and surgery improving disability and daily living.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/one-year-follow-up-of-conservative-and-surgical-treatment-results-for-patients-diagnosed-with-lumbar-spinal-stenosis/406777/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/one-year-follow-up-of-conservative-and-surgical-treatment-results-for-patients-diagnosed-with-lumbar-spinal-stenosis/406777.png","ImageObject",300,407,{"name":92,"@type":93},"Well Done","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What condition does the study focus on?","Question",{"text":113,"@type":114},"The study focuses on lumbar spinal stenosis (LSS), a painful spinal disorder that reduces walking distance and impairs functionality in older adults.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How were patients treated in the two groups?",{"text":118,"@type":114},"One group received supervised physical therapy and an exercise program, while the other group underwent micro endoscopic decompression surgery based on LSS levels.",{"name":120,"@type":111,"acceptedAnswer":121},"What were the main one-year outcomes comparing surgery and conservative treatment?",{"text":122,"@type":114},"Core outcomes such as pain and walking distance showed similar changes in both groups after one year. Conservative care improved SSS functional subscales more, while surgery led to greater improvements in daily living activities and low-back-pain-related disability.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},406777,1790740329,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},5909892210082,"https://ap-avatar.wpscdn.com/avatar/56001069da27c9f41e8?x-image-process=image/resize,m_fixed,w_180,h_180&k=1789614185077863061","| W | J | O | World Journal of\u003Cbr>Orthopedics |\n| --- | --- | --- | --- |\n\nSubmit a Manuscript: [https://www.f6publishing.com](https://www.f6publishing.com) World J Orthop 2025 December 18; 16(12): 109963  \nDOI: 10.5312/wjo.v16.i12.109963 ISSN 2218-5836 (online)  \nORIGINAL ARTICLE  \nClinical Trials Study  \nOne-year follow-up of conservative and surgical treatment results for patients diagnosed with lumbar spinal stenosis  \nAylin Ayyildiz, Adem Yilmaz, Samet Erinç, Levent Aydin, Hakan Ayyıldız, Figen Yilmaz  \nSpecialty type: Orthopedics  \nProvenance and peer review:  \nInvited article; Externally peer reviewed.  \nPeer-review model: Single blind  \nPeer-review report’s classification Scientific Quality: Grade B, Grade B, Grade D  \nNovelty: Grade B, Grade B, Grade B  \nCreativity or Innovation: Grade B, Grade B, Grade B  \nScientific Significance: Grade B, Grade B, Grade D  \nP-Reviewer: You S, PhD, China; Zeng J, Deputy Director, China  \nReceived: May 27, 2025  \nRevised: June 15, 2025  \nAccepted: October 20, 2025  \nPublished online: December 18, 2025  \nProcessing time: 204 Days and 22.9 Hours  \nAylin Ayyildiz, Department of Physical Medicine and Rehabilitation, Çam and Sakura City Hospital, İstanbul 34100, Türkiye  \nAdem Yilmaz, Department of Neurosurgery, Hamidiye Etfal Training and Research Hospital,İstanbul 34100, Türkiye  \nSamet Erinç, Department of Orthopedics and Traumatology, Medicalpark Hospital, İstanbul 34100, Türkiye  \nLevent Aydin, Department of Neurosurgery, Medicana International Hospital, Istanbul 34100, Türkiye  \nHakan Ayyıldız, Department of Radiology, Çam and Sakura City Hospital, İstanbul 34100, Türkiye  \nFigen Yilmaz, Department of Physical Medicine and Rehabilitation, Hamidiye Etfal Teaching and Research Hospital, Istanbul 34360, Türkiye  \nCorresponding author: Aylin Ayyildiz, MD, Department of Physical Medicine and Rehabilitation, Çam and Sakura City Hospital, No. 2 L G-434 Street, İstanbul 34100, Türkiye.  \n[aylin.mrt93@gmail.com](aylin.mrt93@gmail.com)  \nAbstract  \nBACKGROUND  \nIn this aging population, lumbar spinal stenosis (LSS) reduces walking distance and impairs functionality. The definitive treatment is still controversial.  \nAIM  \nTo assess the efficacy of physical therapy and surgery in improving function and reducing pain levels in patients with LSS, both in the short and long term.  \nMETHODS  \nThis prospective study screened patients aged 50-80 years with LSS and divided them into two groups based on certain criteria: Surgical and conservative. The conservative group received a supervised physical therapy and exercise program for 45 minutes, five days a week, for one month. The surgery group underwent micro endoscopic decompression surgery based on their LSS levels. Assessments, conducted before treatment and at one-month and one-year intervals, included the participants' walking distance, pain level using the visual analog scale, func-  \n WJO  [https://www.wjgnet.com](https://www.wjgnet.com) 1 December 18, 2025  Volume 16  Issue 12   \nAyyildiz A et al. One-year follow-up of LSS  \ntionality using the Istanbul low back pain disability index (ILBDI) and Swiss Spinal Stenosis Questionnaire (SSS) Scale, and activities of daily living level using the Nottingham Extended Activities of Daily Living.  \nRESULTS  \nThe study comprised 40 participants, equally divided into surgical and conservative treatment groups, with no significant demographic differences. After one year, both groups exhibited similar changes in walking distance and pain levels. However, the conservative group demonstrated significantly greater improvements in sub-parameters of functional activity and symptom severity of the SSS. After one year, the surgical group showed greater functionality, as assessed by ILBDI, and superior improvement in activities of daily living compared to the conservative group.  \nCONCLUSION  \nBoth treatments showed comparable efficacy in core outcomes (pain, walking distance) . However, complementary advantages we","cbCaicX5vSzP1KfP","https://ap.wps.com/l/cbCaicX5vSzP1KfP","pdf",610402,11,"English","# Abstract\n## Background\n## Aim\n## Methods\n## Results\n## Conclusion\n# Introduction\n# Methods\n# Results\n# Conclusion","[{\"question\":\"What condition does the study focus on?\",\"answer\":\"The study focuses on lumbar spinal stenosis (LSS), a painful spinal disorder that reduces walking distance and impairs functionality in older adults.\"},{\"question\":\"How were patients treated in the two groups?\",\"answer\":\"One group received supervised physical therapy and an exercise program, while the other group underwent micro endoscopic decompression surgery based on LSS levels.\"},{\"question\":\"What were the main one-year outcomes comparing surgery and conservative treatment?\",\"answer\":\"Core outcomes such as pain and walking distance showed similar changes in both groups after one year. Conservative care improved SSS functional subscales more, while surgery led to greater improvements in daily living activities and low-back-pain-related disability.\"}]","One-year follow-up of conservative and surgical treatment results for patients diagnosed with lumbar spinal stenosis | PDF",1790567777,28]