Non-Surgical Interventions for Lumbar Spinal Stenosis Leading To Neurogenic Claudication: A Clinical Practice Guideline

Description: We aimed to develop an evidence-based guideline for the non-surgical management of patients with lumbar spine stenosis causing neurogenic claudication.Using the GRADE approach, the 20-member multidisciplinary guidelines panel based recommendations on evidence from a systematic review of randomized controlled trials and systematic reviews published through June 2019, or expert consensus if not trials could be identified.The literature was monitored up to October 2020.Clinical outcomes evaluated included pain, disability, and walking capacity.This guideline provides updated recommendations from 2 previous guidelines (North American Spine Society, Danish Health Authority) based on the best available evidence.Implementing recommendations issued in this guideline should help clinicians deliver more consistent care and may help improve patient and healthcare system outcomes.