I was interested to read the article by Tran et al. published in the July 2010 issue of the Journal. The authors are to be credited for dealing with the challenges of determining the current best evidence for nonsurgical interventions for lumbar spinal stenosis (LSS). However, based on limitations of the cited publications, the conclusions that can be drawn are limited. Regardless of how the evidence was compiled, if the underlying studies themselves are flawed, the resultant reviews based on that evidence are limited with respect to the conclusions and inferences that can be drawn for treating patients with this unfortunate pain complex.
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