Menu
Menu
19 Harley St, London, W1G 9QJ, UK
We are London's Top Spine Clinic

Bilateral decompression and intervertebral fusion through unilateral fenestration for advanced lumbar spinal stenosis with a cell microendoscopic method.

Bilateral decompression and intervertebral fusion through unilateral fenestration for advanced lumbar spinal stenosis with a cell microendoscopic method.

Drugs (Baltimore). 2018 Jan;97(four):e9715

Authors: Xu B, Xu H, Ma X, Liu Y, Yang Q, Jiang H, Li N, Ji N

Summary
For advanced lumbar spinal stenosis, utilizing of endoscopy method could present clear imaginative and prescient with much less invasive dissection of paravertebral muscle. The target of this examine was to guage the feasibility and medical efficacy of bilateral decompression and intervertebral fusion through unilateral fenestration for advanced lumbar spinal stenosis utilizing cell microendoscopic discectomy (MMED) method.A complete of 61 sufferers with advanced lumbar spinal stenosis (lumbar canal stenosis mixed with degenerative spondylolisthesis, instability, and scoliosis) have been handled with this process. Sufferers with remoted lumbar spinal stenosis or spondylolisthesis better than grade II have been excluded. The index ranges included L4/5 in 52 sufferers, L5/S1 in 6 sufferers, L3-L5 in 2 sufferers and L4-S1 in 1 affected person. The preoperative Oswestry Incapacity Index (ODI) rating was 42.6?±?10.2, lumbar visible analog scale (VAS) rating was 6.1?±?four.2, and leg VAS rating was 7.1?±?5.1. Throughout the operation, ipsilateral enlarged fenestration was made utilizing the MMED method. The disc and cartilage endplate have been totally eliminated, and the contralateral ligamentum flavum and the inside layer of lamina have been undercut to launch the contralateral nerve root. The intervertebral area was launched and ready, by bone grafting and cage insertion. Percutaneous pedicle system was used for discount and fixation. The operative time and blood loss have been recorded, and sufferers have been followed-up for not less than three years (36-48 months, common 41 months) to guage the medical efficacy.The process was profitable in all sufferers, with no nerve harm or conversion to open operation. The imply operative time was 120?minutes (vary, 100-180?minutes), with a imply blood lack of 100 mL (vary, 50-200 mL). Postoperative x-ray and CT confirmed ample decompression and enchancment of spinal alignment. At three years after surgical procedure, the ODI scores, lumbar and leg VAS scores decreased from preoperative 42.6?±?10.2, 6.1?±?four.2, and seven.1?±?5.1 to eight.6?±?7.zero, 1.eight?±?1.three, and zero.9?±?zero.6, respectively (P?=?.00 for every comparability). The medical outcomes have been glorious in 36 circumstances, good in 23, and truthful in 2, in line with the MacNab scale.The process of bilateral decompression and intervertebral fusion through unilateral fenestration utilizing the MMED method can present passable medical outcomes for advanced lumbar spinal stenosis.

PMID: 29369203 [PubMed – in process]

Share to care...

Share on facebook
Facebook
Share on twitter
Twitter
Share on pinterest
Pinterest
Share on google
Google+
Share on linkedin
LinkedIn
Share on skype
Skype

What we do...

The Harley Street Hospital

Testimonials

What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

We treat all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

What our patients say about us ......