Unilateral Laminotomy For Decompression of Lumbar Stenosis is Effective and Safe: A Prospective Randomized Comparative Study
Journal Title: Journal of Neurological Sciences-Turkish - Year 2012, Vol 29, Issue 4
Abstract
Objective: The purpose of this study is to determine the efficacy and safety of unilateral laminotomy for decompression of lumbar stenosis (LS). Although minimally invasive procedures are gaining increasing popularity in the treatment of spinal disorders, minimally invasive techniques are not standard in the surgical treatment of lumbar stenosis yet. Methods: Fifty-two consecutive patients with lumbar stenosis were randomized to two treatment groups (unilateral laminotomy for decompression-Group 1, decompressive laminectomy-Group 2). Maximum walking distance (MWD), Oswestry Disability Index (ODI), spinal MRI and CT, and flexion-extension radiography were used to assess clinical outcome, adequacy of decompression and postoperative instability. Results: Excellent-good clinical outcome was obtained in 88% of patients in Group 1 and in 69% of patients in Group 2. Increase in MWD and dural sac area after surgery were adequate in both groups. Postoperative spinal instability occurred in five patients in Group 2, none in Group 1. There was no surgical complication in the groups. Conclusions: Unilateral laminotomy for decompression is an effective and safe technique for treatment of LS. This technique ensures adequate decompression and good clinical outcome. It does not cause spinal instability.
Authors and Affiliations
Mustafa GURELIK, Cemal BOZKINA, Zafer KARS, Ozen KARADAG, Unal OZUM, Fatih BAYRAKLI
Keywords
Related Articles
- EP ID EP140825
- DOI -
- Views 111
- Downloads 0
Gadolinium Enhancement of Cerebrospinal Fluid on Flair Sequence in A Patient With Chronic Renal Failure
On Fluid-attenuated inversion recovery (FLAIR) sequence, the cerebrospinal fluid signal is nulled, allowing better analysis of adjacent tissue. In some pathologies such as subarachnoid haemorrhage, menengitis, and sagitt...
Tuberous Sclerosis Complex and Autism
Introduction: Tuberous sclerosis is a common autosomal dominant neurocutaneous disorder characterized by abnormal tissue growth resulting in benign tumors, hamartomas, and non growing lesions, hamartias, in numerous orga...
Multipl Skleroz’da Alt Ekstremite Kas Kuvveti ve Denge Arasındaki İlişki
Amaç: Çalışmanın amacı, Multipl Skleroz’da (MS) alt ekstremite kas kuvveti ve denge arasındaki ilişkiyi değerlendirmektir. Gereç ve Yöntem: MS’li (genişletilmiş özürlülük durum ölçeği
Pretest Results of The Revised Standardized Mini Mental Examination Test In Community Dwelling Elderly
Aim. To examine the Turkish version of Standardized Mini Mental State Examination (SMMSE) that some items were revised in the community dwelling elderly population as a pretest. Methods. The revised SMMSE that some it...
İdyopatik Karpal Tünel Sendromunda Hiperkolesteroleminin Rolü
Hiperkolesteroleminin median sinirdeki intranöral konnektif dokunun proliferasyonunu artırarak idyopatik karpal tünel sendromu (KTS) gelişimi için tek başına bağımsız bir risk faktörü olabileceği yapılan bir çalışmada gö...