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Comparison of Delta Spinal Endoscopy and Bilateral Laminotomy for Short-term Patient Outcomes in Degenerative Lumbar Spinal Stenosis – Lumbar Spinal Stenosis

This article summarizes a prospective randomized controlled trial comparing the clinical efficacy of Delta spinal endoscopy with bilateral laminotomy for degenerative lumbar spinal stenosis (DLSS). The study involved 80 patients with DLSS, with 40 patients undergoing Delta spinal endoscopy and 40 patients undergoing bilateral laminotomy. The results showed that Delta spinal endoscopy had advantages in terms of incision length, intraoperative bleeding, and hospitalization time compared to bilateral laminotomy. However, the operation time was shorter for bilateral laminotomy. Both groups showed significant improvement in pain and functional disability scores after surgery, with the Delta spinal endoscopy group having lower scores than the bilateral laminotomy group only in the first week after surgery. The study concludes that Delta spinal endoscopy is an effective minimally invasive approach for managing DLSS with faster patient recovery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : finest day surgery unit in London

Published article

This prospective randomised controlled trial aimed to compare the clinical efficacy of Delta spinal endoscopy with bilateral laminotomy for degenerative lumbar spinal stenosis (DLSS). Eighty patients with DLSS were randomly assigned to two groups: 40 treatments by Delta spinal endoscopy named (A) and 40 treatments by bilateral laminotomy named (A). Patients were followed up for one year. The incision length, intraoperative bleeding, and hospitalisation time were lower in group A than in B (p…

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J Coll Physicians Surg Pak. 2023 Sep;33(9):1074-1076. doi: 10.29271/jcpsp.2023.09.1074.ABSTRACTThis prospective randomised controlled trial aimed to compare the clinical efficacy of Delta spinal endoscopy with bilateral laminotomy for degenerative lumbar spinal stenosis (DLSS). Eighty patients with DLSS were randomly assigned to two groups: 40 treatments by Delta spinal endoscopy named (A) and 40 treatments by bilateral,

J Coll Physicians Surg Pak. 2023 Sep;33(9):1074-1076. doi: 10.29271/jcpsp.2023.09.1074.

ABSTRACT

This prospective randomised controlled trial aimed to compare the clinical efficacy of Delta spinal endoscopy with bilateral laminotomy for degenerative lumbar spinal stenosis (DLSS). Eighty patients with DLSS were randomly assigned to two groups: 40 treatments by Delta spinal endoscopy named (A) and 40 treatments by bilateral laminotomy named (A). Patients were followed up for one year. The incision length, intraoperative bleeding, and hospitalisation time were lower in group A than in B (p <0.01); however, the operation time in group B was lower than in A (p <0.05). The VAS and ODI in both groups improved significantly after surgery, compared with the results before the surgery. The VAS and ODI in group A after surgery were lower than in B, but only for one week after the surgery, (p <0.05). The excellent rate of modified MacNab criteria was not statistically significant between groups A and B (p >0.05). Overall, Delta spinal endoscopy can effectively manage DLSS with faster patient recovery. Key Words: Delta spinal endoscopy, Spinal stenosis, Minimally invasive, Bilateral laminotomy.

PMID:37691374 | DOI:10.29271/jcpsp.2023.09.1074

The London Spine Unit : finest day surgery unit in London

Read the original publication:

Comparison of Delta Spinal Endoscopy and Bilateral Laminotomy for Short-term Patient Outcomes in Degenerative Lumbar Spinal Stenosis

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J Coll Physicians Surg Pak. 2023 Sep;33(9):1074-1076. doi: 10.29271/jcpsp.2023.09.1074.ABSTRACTThis prospective randomised controlled trial aimed to compare the clinical efficacy of Delta spinal endoscopy with bilateral laminotomy for degenerative lumbar spinal stenosis (DLSS). Eighty patients with DLSS were randomly assigned to two groups: 40 treatments by Delta spinal endoscopy named (A) and 40 treatments by bilateral

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