{"id":"https://openalex.org/W1990321976","doi":"https://doi.org/10.3171/jns.1992.77.5.0669","title":"Long-term evaluation of decompressive surgery for degenerative lumbar stenosis","display_name":"Long-term evaluation of decompressive surgery for degenerative lumbar stenosis","publication_year":1992,"publication_date":"1992-11-01","ids":{"openalex":"https://openalex.org/W1990321976","doi":"https://doi.org/10.3171/jns.1992.77.5.0669","mag":"1990321976","pmid":"https://pubmed.ncbi.nlm.nih.gov/1403105"},"language":"en","primary_location":{"id":"doi:10.3171/jns.1992.77.5.0669","doi":"https://doi.org/10.3171/jns.1992.77.5.0669","is_oa":false,"landing_page_url":"https://doi.org/10.3171/jns.1992.77.5.0669","pdf_url":null,"source":{"id":"https://openalex.org/S1995308","display_name":"Journal of neurosurgery","issn_l":"0022-3085","issn":["0022-3085","1933-0693"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310316861","host_organization_name":"American Association of Neurological Surgeons","host_organization_lineage":["https://openalex.org/P4310316861"],"host_organization_lineage_names":["American Association of Neurological Surgeons"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurosurgery","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W1990321976"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5108516210","display_name":"Anthony J. Caputy","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799903593","display_name":"Georgetown University Medical Center","ror":"https://ror.org/00hjz7x27","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799903593"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anthony J. Caputy","raw_affiliation_strings":["Department of Neurosurgery, Georgetown University Medical Center, Washington, D.C"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Georgetown University Medical Center, Washington, D.C","institution_ids":["https://openalex.org/I2799903593"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5046546312","display_name":"Alfred J. Luessenhop","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alfred J. Luessenhop","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":4.0784,"has_fulltext":false,"cited_by_count":157,"citation_normalized_percentile":{"value":0.9342164,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":91,"max":99},"biblio":{"volume":"77","issue":"5","first_page":"669","last_page":"676"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11518","display_name":"Cervical and Thoracic Myelopathy","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11030","display_name":"Scoliosis diagnosis and treatment","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lumbar-spinal-stenosis","display_name":"lumbar spinal stenosis","score":0.8999999761581421},{"id":"https://openalex.org/keywords/surgical-decompression","display_name":"surgical decompression","score":0.8759999871253967},{"id":"https://openalex.org/keywords/long-term-outcomes","display_name":"long-term outcomes","score":0.7799999713897705},{"id":"https://openalex.org/keywords/surgical-failure","display_name":"surgical failure","score":0.7319999933242798},{"id":"https://openalex.org/keywords/recurrence","display_name":"recurrence","score":0.4059999883174896},{"id":"https://openalex.org/keywords/spondylolisthesis","display_name":"spondylolisthesis","score":0.9330000281333923},{"id":"https://openalex.org/keywords/low-back-pain","display_name":"low back pain","score":0.7699999809265137},{"id":"https://openalex.org/keywords/reoperation","display_name":"reoperation","score":0.7720000147819519},{"id":"https://openalex.org/keywords/spinal-stabilization","display_name":"spinal stabilization","score":0.6230000257492065}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9592424631118774},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.7422435283660889},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6881674528121948},{"id":"https://openalex.org/C2776623965","wikidata":"https://www.wikidata.org/wiki/Q973524","display_name":"Spondylolisthesis","level":3,"score":0.6572995781898499},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.6025910973548889},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.5987535715103149},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.5968602895736694},{"id":"https://openalex.org/C2776683126","wikidata":"https://www.wikidata.org/wiki/Q6495681","display_name":"Lateral recess","level":3,"score":0.5912333130836487},{"id":"https://openalex.org/C2779480328","wikidata":"https://www.wikidata.org/wiki/Q1183684","display_name":"Decompression","level":2,"score":0.5137835144996643},{"id":"https://openalex.org/C2780175798","wikidata":"https://www.wikidata.org/wiki/Q1478321","display_name":"Spinal stenosis","level":3,"score":0.4982478618621826},{"id":"https://openalex.org/C2779631646","wikidata":"https://www.wikidata.org/wiki/Q17164695","display_name":"Lumbar spinal stenosis","level":3,"score":0.49630433320999146},{"id":"https://openalex.org/C44575665","wikidata":"https://www.wikidata.org/wiki/Q1293405","display_name":"Lumbar","level":2,"score":0.41295087337493896},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0892849862575531},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008159","descriptor_name":"Lumbar Vertebrae","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009192","descriptor_name":"Myelography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012008","descriptor_name":"Recurrence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012086","descriptor_name":"Reoperation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013130","descriptor_name":"Spinal Stenosis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D013130","descriptor_name":"Spinal Stenosis","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D013130","descriptor_name":"Spinal Stenosis","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D013168","descriptor_name":"Spondylolisthesis","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017116","descriptor_name":"Low Back Pain","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.3171/jns.1992.77.5.0669","doi":"https://doi.org/10.3171/jns.1992.77.5.0669","is_oa":false,"landing_page_url":"https://doi.org/10.3171/jns.1992.77.5.0669","pdf_url":null,"source":{"id":"https://openalex.org/S1995308","display_name":"Journal of neurosurgery","issn_l":"0022-3085","issn":["0022-3085","1933-0693"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310316861","host_organization_name":"American Association of Neurological Surgeons","host_organization_lineage":["https://openalex.org/P4310316861"],"host_organization_lineage_names":["American Association of Neurological Surgeons"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurosurgery","raw_type":"journal-article"},{"id":"pmid:1403105","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1403105","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of neurosurgery","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":22,"referenced_works":["https://openalex.org/W1603486290","https://openalex.org/W1606928430","https://openalex.org/W1885886751","https://openalex.org/W1979077227","https://openalex.org/W1997385591","https://openalex.org/W2000391945","https://openalex.org/W2010376611","https://openalex.org/W2012231517","https://openalex.org/W2015531630","https://openalex.org/W2021554420","https://openalex.org/W2024392911","https://openalex.org/W2031133375","https://openalex.org/W2038078938","https://openalex.org/W2074577546","https://openalex.org/W2082192939","https://openalex.org/W2094378987","https://openalex.org/W2135713405","https://openalex.org/W2156734996","https://openalex.org/W2302440257","https://openalex.org/W2408003413","https://openalex.org/W4242353435","https://openalex.org/W4244805924"],"related_works":["https://openalex.org/W2137709501","https://openalex.org/W2018420287","https://openalex.org/W2016996912","https://openalex.org/W4383302666","https://openalex.org/W2044238085","https://openalex.org/W3026441925","https://openalex.org/W2231448520","https://openalex.org/W4200025738","https://openalex.org/W2330000416","https://openalex.org/W4205501753"],"abstract_inverted_index":{"One-hundred":[0],"patients":[1,22],"who":[2],"had":[3,130],"undergone":[4],"decompressive":[5],"surgery":[6],"for":[7],"lumbar":[8,65],"stenosis":[9,25,66,171,177,224,249],"between":[10],"1980":[11],"and":[12,43,93,113,174,250,271],"1985":[13],"were":[14,26,45,71,96,159],"evaluated":[15],"as":[16,73],"to":[17,119,161,226],"their":[18],"long-term":[19],"outcome.":[20],"Four":[21],"with":[23,67,268],"postfusion":[24],"included.":[27],"A":[28],"5-year":[29],"follow-up":[30],"period":[31],"was":[32,40,52,64,102,184,205],"achieved":[33],"in":[34,172,181,186,207,216],"88":[35],"patients.":[36,153],"The":[37,198],"mean":[38],"age":[39],"67":[41],"years,":[42],"80%":[44],"over":[46],"60":[47],"years":[48,127,204,231],"of":[49,56,85,91,106,110,115,123,133,151,170,176,188,200,212,221,247,257,264,273,278],"age.":[50],"There":[51,95],"a":[53,75,79,103,195,229],"high":[54,104],"incidence":[55,105,199],"coexisting":[57],"medical":[58],"diseases,":[59],"but":[60,108,192],"the":[61,83,89,134,140,147,155,208,217,251,262],"principal":[62],"disability":[63],"neurological":[68,111,163],"involvement.":[69],"Results":[70],"categorized":[72],"either":[74],"surgical":[76,209,218,280],"success":[77],"or":[78],"failure,":[80],"depending":[81],"upon":[82],"achievement":[84],"preset":[86],"goals":[87],"within":[88,146,228],"context":[90],"lifestyle":[92],"needs.":[94],"no":[97],"perioperative":[98],"complications.":[99],"Initially":[100],"there":[101],"success,":[107],"recurrence":[109,175],"involvement":[112],"persistence":[114],"low-back":[116],"pain":[117],"led":[118],"an":[120],"increasing":[121],"number":[122,129],"failures.":[124],"By":[125],"5":[126,203],"this":[128,265],"reached":[131],"27%":[132],"available":[135],"population":[136],"pool,":[137],"suggesting":[138],"that":[139,240],"failure":[141],"rate":[142],"could":[143],"reach":[144],"50%":[145],"projected":[148],"life":[149],"expectancies":[150],"most":[152],"Of":[154],"26":[156,213],"failures,":[157],"16":[158,190],"secondary":[160],"renewed":[162],"involvement,":[164],"which":[165],"occurred":[166],"at":[167,178,202,245],"new":[168],"levels":[169,180,246,256,272],"eight":[173],"operative":[179],"eight.":[182],"Reoperation":[183],"successful":[185],"12":[187],"these":[189],"patients,":[191],"two":[193],"required":[194],"third":[196],"operation.":[197],"spondylolisthesis":[201],"higher":[206],"failures":[210],"(12":[211],"patients)":[214],"than":[215],"successes":[219],"(16":[220],"64).":[222],"Spondylolisthetic":[223],"tended":[225],"recur":[227],"few":[230],"following":[232],"decompression.":[233],"To":[234],"forestall":[235],"recurrences,":[236],"it":[237],"is":[238],"suggested":[239],"stabilization":[241],"be":[242],"carried":[243],"out":[244],"spondylolisthetic":[248],"initial":[252],"decompression":[253],"include":[254],"adjacent":[255],"threatening":[258],"symptomatic":[259,274],"stenosis.":[260],"However,":[261],"heterogenicity":[263],"patient":[266],"population,":[267],"varying":[269],"patterns":[270],"stenosis,":[275],"precludes":[276],"application":[277],"rigid":[279],"protocols.":[281]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":5},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":5},{"year":2017,"cited_by_count":8},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":9},{"year":2012,"cited_by_count":3}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
