The London Spine Unit : best recognised spinal hospital in the world
Published article
The long-term results of the patients with LSS treated with tubular and endoscopic approaches were similar and very good. Bilateral decompression with minimally invasive spinal surgery methods can be completed with less tissue damage, complications, and blood loss with the unilateral approach.
Lumbar Disc Replacement Expert. Best Spinal Surgeon UK
Abstract
Background: To report the long-term results of patients with lumbar spinal stenosis (LSS), for whom we applied the tubular and endoscopic approaches and previously published the short-term results MATERIAL AND METHOD: A multicenter, prospective, randomized, double-blind study was carried out to evaluate two groups of patients with LSS who underwent microsurgery via a tubular retractor with a unilateral approach (T-group) and bilateral spinal decompression using uniportal interlaminar endoscopic approaches (E-group). Dural sac cross-sectional and spinal canal cross-sectional areas were measured with the patients’ preoperative and postoperative magnetic resonance images. The Visual Analog Scale (VAS), Oswestry Disability Index (ODI), and Japanese Orthopedic Association (JOA) scores in the preoperative period and the 1st, 2nd, and 3rd years after surgery were evaluated.
Results: Twenty patients met the inclusion criteria for the research (T group; n: 10, E group; n: 10). The groups’ VAS (respectively; P=.315, P=.529, and P=.853), ODI (respectively; P=.529, P=.739, and P=.912), and JOA (respectively; P=.436, P =.853, and P=.684) scores from the 1st, 2nd, and 3rd postoperative years were quite good compared to the preoperative period, but there was no statistically significant difference. A significant difference was found in E-Group, with less blood loss (P < .001).
The long-term results of the patients with LSS treated with tubular and endoscopic approaches were similar and very good. Bilateral decompression with minimally invasive spinal surgery methods can be completed with less tissue damage, complications, and blood loss with the unilateral approach.
Keywords: endoscopic technique; lumbar spinal stenosis; prospective; spinal canal decompression; tubular.
The London Spine Unit : best recognised spinal hospital in the world
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COMPARISON OF TUBULAR APPROACH AND UNIPORTAL INTERLAMINAR FULL-ENDOSCOPIC APPROACH IN THE TREATMENT OF LUMBAR SPINAL STENOSIS: OUR THREE YEAR RESULTS