NEW YORK—February 20, 2008
The Spine Patient Outcomes Research Trial (SPORT), a seven-year, $21 million national study funded by the National Institutes of Health, is the first study to compare the effectiveness of surgical and nonsurgical options on back pain. In an extension of their findings published in May of last year showing the benefit of surgery for the condition of spondylolisthesis, the authors now focused on a more common back problem: spinal stenosis.
"Spinal stenosis is a result of the narrowing of the spinal canal causing compression of the nerves resulting in back and leg pain, and difficulty walking," says Frank P. Cammisa Jr., M.D., chief of the spine service at Hospital for Special Surgery in Manhattan and a co-author of the paper.
Spinal stenosis is the most common reason for lumbar spine surgery in adults over 65, but is the surgery helping more than nonsurgical treatments?
"Based on the 2-year outcome studies of our patients," says Dr. Cammisa, "Patients who had surgery, compared to those treated only with nonsurgical methods, showed significantly better improvement in their pain, their function and their satisfaction."
About HSS | Hospital for Special Surgery
HSS is the world’s leading academic medical center focused on musculoskeletal health. At its core is Hospital for Special Surgery, nationally ranked No. 1 in orthopedics (for the eighth consecutive year) and No. 3 in rheumatology by U.S. News & World Report (2017-2018). Founded in 1863, the Hospital has one of the lowest infection rates in the country and was the first in New York State to receive Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center four consecutive times. The global standard total knee replacement was developed at HSS in 1969. An affiliate of Weill Cornell Medical College, HSS has a main campus in New York City and facilities in New Jersey, Connecticut and in the Long Island and Westchester County regions of New York State. In 2017 HSS provided care to 135,000 patients and performed more than 32,000 surgical procedures. People from all 50 U.S. states and 80 countries travelled to receive care at HSS. In addition to patient care, HSS leads the field in research, innovation and education. The HSS Research Institute comprises 20 laboratories and 300 staff members focused on leading the advancement of musculoskeletal health through prevention of degeneration, tissue repair and tissue regeneration. The HSS Global Innovation Institute was formed in 2016 to realize the potential of new drugs, therapeutics and devices. The culture of innovation is accelerating at HSS as 130 new idea submissions were made to the Global Innovation Institute in 2017 (almost 3x the submissions in 2015). The HSS Education Institute is the world’s leading provider of education on the topic on musculoskeletal health, with its online learning platform offering more than 600 courses to more than 21,000 medical professional members worldwide. Through HSS Global Ventures, the institution is collaborating with medical centers and other organizations to advance the quality and value of musculoskeletal care and to make world-class HSS care more widely accessible nationally and internationally.