Dr Ahmad Kamal, Dr Muhammad Awais, Dr Amna Ilyas
Gradual narrowing of spinal canal is known as lumber stenosis. The typical presentation of lumber stenosis is low back pain radiating to leg which usually arises while walking. Lumber stenosis is generally degenerative condition and hampers the activity of daily life such as walking, lifting up from the chair, and climbing up the stairs etc. One of the most common indications for spinal surgery is lumber spinal stenosis. Literature has shown that people who have undergone spinal surgery has more positive outcome as compared to conservative treatment. During the past decades lumber spinal stenosis has increased drastically and surgical procedures have become more complex. To minimize the risk of instability and deformity laminectomy has been introduced in which neural decompression and lumber fusion has been treated. A condition in which one vertebra slips over other in relation to lower vertebra in known as degenerative spondylolisthesis it can be easily seen on radiographs in patients who are suffering from lumber stenosis. A sign of instability is indication of fusion surgery. The results of the current study somehow relate with the findings of Ghogawala et al.,36 in which it was reported that after combination of fusion surgery with decompression surgery there was increase in the score of Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) physical-component summary but not on the ODI.