| Before matching | After matching | ||||
---|---|---|---|---|---|---|
Physical therapy (n = 38) | Surgery (n = 186) | P | Physical therapy (n = 33) | Surgery (n = 33) | P | |
Age (years) | 72.5 ± 7.0 | 70.9 ± 8.4 | 0.28* | 72.1 ± 7.3 | 71.1 ± 7.9 | 0.80‡ |
Sex | Female: 21 | Female: 94 | 0.60†| Female: 19 | Female: 19 | 1.00†|
 | Male: 17 | Male: 92 |  | Male: 14 | Male: 14 |  |
Body mass index (kg/m2) | 23.4 ± 2.8 | 23.9 ± 3.3 | 0.38‡ | 23.5 ± 2.9 | 23.8 ± 3.4 | 0.73* |
Duration of symptoms (months) | 31.2 ± 29.7 | 25.2 ± 27.7 | 0.10‡ | 26.7 ± 26.0 | 25.8 ± 28.0 | 0.61‡ |
Comorbidities, n (%) | ||||||
 Hypertension | 25 (66) | 121 (65) | 0.93‡ | 22 (67) | 17 (52) | 0.21†|
 Diabetes | 10 (26.3) | 45 (24.2) | 0.78‡ | 9 (27) | 7 (21) | 0.57†|
 Heart disease | 8 (21) | 27 (15) | 0.31‡ | 7 (21) | 4 (12) | 0.32†|
 Pulmonary disease | 4 (11) | 12 (7) | 0.37‡ | 4 (12) | 1 (3) | 0.16†|
Smoking, n (%) |  |  | 0.25‡ |  |  | 0.42†|
 Never | 25 (66) | 130 (70) |  | 23 (70) | 26 (79) |  |
 ex-smoker | 11 (29) | 35 (19) |  | 8 (24) | 4 (12) |  |
 current smoker | 2 (5) | 21 (11) |  | 2 (6) | 3 (9) |  |
Severity of stenosis at most stenotic level |  |  | < 0.01†|  |  | < 0.17†|
 Minor (Grade A) | 7 (18) | 10 (5) |  | 6 (18) | 1 (3) |  |
 Moderate (Grade B) | 15 (40) | 50 (27) |  | 12 (36) | 12 (36) |  |
 Severe (Grade C) | 16 (42) | 121 (65) |  | 15 (46) | 19 (58) |  |
 Extreme (Grade D) | 0 (0) | 5 (3) |  | 0 (0) | 1 (3) |  |
Total number of severe stenoses (more than grade C) | 0.6 ± 0.8 | 1.0 ± 0.9 | < 0.01‡ | 0.7 ± 0.9 | 0.8 ± 0.7 | 0.42‡ |
Spondylolisthesis, n (%) | 25 (66) | 108 (58) | 0.38†| 21 (64) | 24 (73) | 0.43†|
% slippage (mm) | 7.2 ± 6.8 | 8.9 ± 9.5 | 0.50‡ | 7.5 ± 7.2 | 8.4 ± 7.6 | 0.75‡ |
Severe LSS symptoms* | 6 (16) | 62 (33) | 0.03†| 5 (15) | 7 (21) | 0.52†|
Zurich claudication questionnaire | ||||||
 Symptom severity | 3.2 ± 0.5 | 3.5 ± 0.6 | 0.02‡ | 3.3 ± 0.5 | 3.3 ± 0.6 | 0.52‡ |
 Physical function | 2.4 ± 0.6 | 2.7 ± 0.6 | 0.01‡ | 2.4 ± 0.6 | 2.4 ± 3.1 | 0.97* |
Numerical rating scale | Â | Â | Â | Â | Â | Â |
 Back pain | 5.3 ± 2.5 | 5.8 ± 2.7 | 0.21‡ | 5.1 ± 2.5 | 5.2 ± 2.5 | 0.77* |
 Leg pain | 6.4 ± 2.2 | 6.8 ± 2.6 | 0.17‡ | 6.4 ± 2.2 | 6.2 ± 2.7 | 0.98‡ |
 Leg numbness | 5.7 ± 2.7 | 5.9 ± 3.0 | 0.50‡ | 5.9 ± 2.7 | 6.4 ± 2.7 | 0.36‡ |
Japanese orthopedic association back pain evaluation questionnaire | ||||||
 Pain-related disorders | 56.0 ± 30.2 | 44.2 ± 33.5 | 0.04‡ | 57.7 ± 30.8 | 53.3 ± 31.6 | 0.59‡ |
 Lumbar dysfunction | 63.1 ± 27.7 | 57.5 ± 28.3 | 0.27‡ | 62.9 ± 28.8 | 65.9 ± 23.0 | 0.81‡ |
 Gait disturbance | 40.7 ± 27.2 | 31.8 ± 24.8 | 0.06‡ | 39.5 ± 27.3 | 41.3 ± 24.9 | 0.83‡ |
 Social life dysfunction | 44.2 ± 18.1 | 36.8 ± 20.5 | 0.03‡ | 44.4 ± 19.1 | 46.0 ± 17.6 | 0.89‡ |
 Psychological disorders | 50.9 ± 14.2 | 43.8 ± 17.5 | 0.01‡ | 50.3 ± 14.4 | 48.8 ± 13.8 | 0.62‡ |
SF-36 | ||||||
 Physical functioning | 60.5 ± 20.3 | 45.6 ± 22.7 | < 0.01‡ | 57.9 ± 20.2 | 59.1 ± 20.6 | 0.81* |
 Bodily pain | 38.3 ± 14.3 | 31.1 ± 15.5 | < 0.01‡ | 38.8 ± 15.0 | 39.2 ± 17.5 | 0.83‡ |
 Role physical | 53.5 ± 25.5 | 40.3 ± 25.8 | < 0.01‡ | 55.5 ± 26.4 | 50.8 ± 24.8 | 0.46* |
 Role emotional | 61.8 ± 27.5 | 46.5 ± 30.1 | < 0.01‡ | 63.9 ± 28.3 | 57.3 ± 23.9 | 0.16‡ |
 Mental health | 62.6 ± 21.6 | 57.1 ± 20.6 | < 0.05‡ | 60.5 ± 21.8 | 59.4 ± 21.1 | 0.62‡ |
 Social functioning | 70.7 ± 26.8 | 59.7 ± 27.7 | 0.02‡ | 70.1 ± 27.6 | 69.7 ± 28.1 | 0.98‡ |
 Vitality | 53.5 ± 19.2 | 46.7 ± 22.2 | 0.07‡ | 52.1 ± 20.1 | 51.9 ± 17.8 | 0.98‡ |
 General health | 49.3 ± 14.8 | 49.1 ± 16.7 | 0.86‡ | 48.8 ± 14.0 | 50.5 ± 14.1 | 0.61* |
Hospital anxiety and depression scale | ||||||
 Depression | 5.2 ± 3.1 | 5.9 ± 3.9 | 0.46‡ | 5.6 ± 3.1 | 5.3 ± 2.8 | 0.72* |
 Anxiety | 4.2 ± 2.6 | 5.7 ± 3.9 | 0.03‡ | 4.5 ± 2.6 | 4.4 ± 3.1 | 0.95‡ |
Pain catastrophizing scale | 28.0 ± 10.4 | 31.9 ± 11.0 | 0.03‡ | 29.4 ± 10.1 | 30.9 ± 9.7 | 0.55* |
Pain anxiety symptoms  scale-20 | 37.1 ± 17.2 | 43.0 ± 16.8 | > 0.05* | 39.7 ± 16.2 | 44.8 ± 15.0 | 0.20* |