Prospective analysis of surgical outcomes in patients undergoing decompressive laminectomy and posterior instrumentation for degenerative lumbar spinal stenosis

dc.contributor.authorGelalis, I. D.en
dc.contributor.authorArnaoutoglou, C.en
dc.contributor.authorChristoforou, G.en
dc.contributor.authorLykissas, M. G.en
dc.contributor.authorBatsilas, I.en
dc.contributor.authorXenakis, T.en
dc.date.accessioned2015-11-24T18:56:01Z
dc.date.available2015-11-24T18:56:01Z
dc.identifier.issn1017-995X-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/18969
dc.rightsDefault Licence-
dc.subjectAdulten
dc.subjectAgeden
dc.subjectAged, 80 and overen
dc.subjectBone Transplantationen
dc.subjectDecompression, Surgical/instrumentation/*methodsen
dc.subjectDisability Evaluationen
dc.subjectDiskectomyen
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectLaminectomy/instrumentation/*methodsen
dc.subjectLumbar Vertebrae/pathology/radiography/*surgeryen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectPain Measurementen
dc.subjectPatient Satisfactionen
dc.subjectProspective Studiesen
dc.subjectScoliosis/surgeryen
dc.subjectSpinal Fusion/instrumentation/*methodsen
dc.subjectSpinal Stenosis/complications/radiography/*surgeryen
dc.subjectSpondylolisthesis/surgeryen
dc.subjectTreatment Outcomeen
dc.titleProspective analysis of surgical outcomes in patients undergoing decompressive laminectomy and posterior instrumentation for degenerative lumbar spinal stenosisen
heal.abstractOBJECTIVES: The aim of this study was to evaluate the outcome of wide surgical decompression and concomitant posterior instrumentation in patients with degenerative lumbar spinal stenosis. METHODS: Thirty-seven consecutive patients (14 men, 23 women; mean age 64 years; range 36 to 82 years) with degenerative lumbar spinal stenosis were prospectively evaluated following surgical treatment with spinal decompression and concomitant instrumented posterior fusion. The mean duration of symptoms before surgery was 24 months (range 12 to 60 months). Preoperatively, six patients had degenerative spondylolisthesis (grade 1) and two patients had degenerative lumbar scoliosis. Decompression was performed at one level in four patients, at two levels in 16 patients, at three levels in 11 patients, and at four levels in six patients. Discectomy was also performed in seven patients. Preoperatively and postoperatively, the patients were assessed by the Oswestry Disability Index and a visual analog scale for overall pain (leg and low back pain). The satisfaction level of the patients for surgical outcome was also questioned. The mean follow-up period was 4.6 years (range 1 to 7 years). RESULTS: Preoperatively, the mean Oswestry Disability Index score was 60.5% and the mean overall pain score was 7.5. Postoperatively, the Oswestry Disability Index score significantly decreased to 36.8% and the overall pain score significantly decreased to 3.5 (p<0.001). Preoperative and postoperative walking distances of the patients were as follows, respectively: more than 1,000 meters (6 and 14 patients), 500 to 1,000 meters (5 and 7 patients), less than 500 meters (26 and 16 patients). Twenty patients did not use any analgesics and eight patients used analgesics on a weekly basis. Twenty-six patients were satisfied with the surgical outcome, nine patients were somewhat satisfied, and two patients were dissatisfied. Overall, the outcomes were excellent to good in 22 patients (59.5%). None of the patients required revision surgery. CONCLUSION: Most patients with degenerative lumbar spinal stenosis benefit from decompressive surgery. Patients with long-standing preoperative symptoms and concomitant diseases often have poor results and are less satisfied with the postoperative outcome.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.3944/AOTT.2010.2278-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/21088465-
heal.journalNameActa Orthop Traumatol Turcen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2010-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

Αρχεία

Φάκελος/Πακέτο αδειών

Προβολή: 1 - 1 of 1
Φόρτωση...
Μικρογραφία εικόνας
Ονομα:
license.txt
Μέγεθος:
1.74 KB
Μορφότυπο:
Item-specific license agreed upon to submission
Περιγραφή: