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The Efficiency of Gabapentin Therapy in Patients With Lumbar Spinal Stenosis
Abstract
In Brief Study Design. Randomized controlled study. Objectives. To investigate the efficacy of treatment with gabapentin on the clinical symptoms and findings in patients with lumbar spinal stenosis (LSS). Summary of Background Data. LSS is a syndrome resulting from the narrowing of the lumbar nerve root canal, spinal canal, and intervertebral foramen, causing compression of the spinal cord. The most significant clinical symptom in patients with LSS is neurologic intermittent claudication (NIC). Gabapentin, which has been used in the treatment of neuropathic pain, may be effective in the treatment of symptoms associated with LSS. Methods. Fifty-five patients with LSS, who had NIC as the primary complaint, were randomized into 2 groups. All patients were treated with therapeutic exercises, lumbosacral corset with steel bracing, and nonsteroidal anti-inflammatory drugs. The treatment group received gabapentin orally in addition to the standard treatment. Results. Gabapentin treatment resulted in an increase in the walking distance better than what was obtained with standard treatment (P = 0.001). Gabapentin-treated patients also showed improvements in pain scores (P = 0.006) and recovery of sensory deficit (P = 0.04), better than could be attained with the standard treatment. Conclusion. Based on the results of our pilot study, extensive clinical studies are warranted to investigate the role of gabapentin in the management of symptomatic LSS. Fifty-five patients with lumbar spinal stenosis were randomized to receive oral gabapentin or nothing along with the standard treatment. Patients receiving gabapentin showed superior reduction in pain scores and increased their walking distance when compared with control patients. Gabapentin should be considered in the treatment of lumbar spinal stenosis.
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“Only one study showed statistically significant differences in the relief of low back and leg pain with the movement at months 3 (MD −1.20; CI 95% −2.36 to −0.04) and 4 (MD −1.80; CI 95% −3.07 to −0.53).31”
From A systematic review and meta-analysis of the effectiveness and adverse events of gabapentin and pregabalin for sciatica pain (2022) · cites this paper as [31]
In the citing paper
“Only one study showed statistically significant differences in the relief of low back and leg pain with the movement at months 3 (MD −1.20; CI 95% −2.36 to −0.04) and 4 (MD −1.80; CI 95% −3.07 to −0.53).31”
From A systematic review and meta-analysis of the effectiveness and adverse events of gabapentin and pregabalin for sciatica pain (2022) · cites this paper as [31]
In the citing paper
“Similarly, the risk for blinding of outcome assessment (detection bias) was low or unclear for all but three studies, which were rated as high risk of bias in this item.20, 31, 32”
From A systematic review and meta-analysis of the effectiveness and adverse events of gabapentin and pregabalin for sciatica pain (2022) · cites this paper as [31]
In the citing paper
“Regarding gabapentin trials, one study compared this gabapentinoid with placebo,20 one with no matched intervention,31 and one compared tramadol versus gabapentin plus tramadol.30”
From A systematic review and meta-analysis of the effectiveness and adverse events of gabapentin and pregabalin for sciatica pain (2022) · cites this paper as [31]
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Metadata
- Authors
- Yaksi, A., Özgönenel, L., & Özgönenel, B.
- Affiliations
- İstanbul Fizik Tedavi ve Rehabilitasyon Eğitim ve Araştırma Hastanesi (TR)
- Ministry of Health (TR)
- Corewell Health William Beaumont University Hospital (US)
- Corresponding author
- Yaksi, Ali
- Özgönenel, Levent
- Venue
- Spine
- Published
- 2007-04
- Volume
- 32
- Issue
- 9
- Pages
- 939-942
- ISSN
- 0362-2436 (ISSN-L)
- OpenAlex
- W2077668511
- Cited by
- 118
- References
- 15
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 4 · 2023: 5 · 2022: 10 · 2021: 3 · 2020: 7 · 2019: 9 · 2018: 3 · 2017: 9 · 2016: 7 · 2015: 7 · 2014: 8 · 2013: 6 · 2012: 2
- FWCI
- 5.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Spine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Keywords
- gabapentin, lumbar spinal stenosis, neurogenic claudication, neuropathic pain, walking distance, pain scores, sensory impairment, nonsteroidal anti-inflammatory drugs, exercise therapy, lumbar nerve root compression
- MeSH terms
- Gabapentin, Adult, Aged, Amines, Analgesics, Back Pain, Cyclohexanecarboxylic Acids, Female, gamma-Aminobutyric Acid, Humans, Lumbar Vertebrae, Male, Middle Aged, Pain Measurement, Pilot Projects, Spinal Stenosis, Walking
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