Comparative examine of two spinous course of (SP) osteotomy methods for posterior decompression surgical procedure in lumbar spinal stenosis: SP base versus splitting osteotomy.
Eur Backbone J. 2018 Feb 21;:
Authors: Lee GW, Ahn MW
PURPOSE: To check the postoperative medical and radiological outcomes of the SP base osteotomy versus SP splitting methods for PD for treating LSS.
METHODS: Of 139 sufferers who underwent PD surgical procedure for LSS, 97 who met the examine standards have been enrolled within the examine. Group A comprised 53 sufferers who underwent SP base osteotomy, and group B included 44 sufferers who underwent SP splitting osteotomy. The first examine endpoint was depth of decrease again ache (LBP) and ache radiation to the decrease extremities measured with the visible analogue scale (VAS). Secondary endpoints included (1) medical outcomes assessed utilizing Oswestry incapacity index and 12-short well being type questionnaire; (2) surgical outcomes; and (three) procedure-related issues.
RESULTS: LBP was roughly larger in SP base osteotomy group than in SP splitting osteotomy group at postoperative 1 week and 1 12 months (P = zero.04 and zero.03), however radiating ache was no important distinction between the teams all through the 1-year follow-up interval. One 12 months after the surgical procedure, the fusion fee on the osteotomized website was considerably larger in SP splitting osteotomy group (77%) than in SP base osteotomy group (55%) (P = zero.03). Scientific outcomes, surgical outcomes, and issues didn’t differ considerably between teams throughout follow-up instances.
CONCLUSIONS: The 2 SP osteotomy methods supply wonderful medical and radiological outcomes not less than for the primary 12 months after the surgical procedure. In fusion fee on the osteotomized SP website, the SP splitting approach was superior to the SP base osteotomy approach. These slides might be retrieved underneath Digital Supplementary Materials.
PMID: 29468315 [PubMed – as supplied by publisher]