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Comparability of the Minimally Invasive and Typical Open Surgical procedure Strategy within the Remedy of Lumbar Stenosis: A Systematic Overview and a Meta-Evaluation.

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Comparability of the Minimally Invasive and Typical Open Surgical procedure Strategy within the Remedy of Lumbar Stenosis: A Systematic Overview and a Meta-Evaluation.

Ann Acad Med Singapore. 2017 Apr;46(four):124-137

Authors: Chang F, Zhang T, Gao G, Ding S, Su Y, Li L, Zuo G, Chen B, Wang X, Yu C

Summary
INTRODUCTION: Minimally invasive surgical procedure (MIS) is more and more used within the therapy of lumbar stenosis. Nevertheless, it’s nonetheless not clear if the employment of minimally invasive surgical strategies can obtain superior scientific outcomes in comparison with commonplace open laminectomy.
MATERIALS AND METHODS: An intensive literature evaluate relating to the scientific consequence, security, and effectivity of MIS and commonplace open surgical procedure (OS) within the therapy of lumbar stenosis was performed on Medline, Cochrane, EMBASE, and Google Scholar databases as much as 19 August 2016.
RESULTS: Sixteen research that enrolled a complete of 1580 sufferers with surgically-indicated lumbar stenosis have been recognized; 793 sufferers underwent MIS and 787 sufferers underwent standard OS. No important distinction was discovered within the enchancment of Oswestry Incapacity Index (ODI) (P = zero.718) and operation time (P = zero.322) between sufferers from totally different therapy teams. MIS was related to higher visible analogue scale (VAS) for again ache (P = zero.01), shorter size of hospital keep (P <zero.001), and decrease blood loss (P <zero.001).
CONCLUSION: Our findings point out that each MIS and commonplace OS can successfully handle sufferers with lumbar stenosis and result in comparable scientific outcomes. Additional research are vital to guage MIS with several types of standard surgical procedure for lumbar stenosis.

PMID: 28485460 [PubMed – indexed for MEDLINE]

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