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Long-term outcomes after minimally invasive bilateral or unilateral laminotomy for degenerative lumbar spinal stenosis: A minimum 10-year follow-up study Research Article

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Published article

CONCLUSIONS: Minimally invasivelaminotomy decompression is an effective procedureand achieves beneficial long-term clinical results for DLSS.
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World Neurosurg. 2022 May 26:S1878-8750(22)00727-6. doi: 10.1016/j.wneu.2022.05.087. Online ahead of print.

ABSTRACT

OBJECTIVE: The optimal surgical procedure for minimal surgical intervention in symptomatic degenerative lumbar stenosis (DLSS) is unknown. This article presents amethod of minimally invasive decompression alone and reports the long-term outcomes and complications of patients treated with minimally invasive bilateral or unilateral laminotomy decompression performed by one surgeon.

METHODS: Patients with DLSS who underwent minimally invasive laminotomy decompression alone from March 2008 to October 2010 were included in the study, and 106 patients were followed up for at least 10 years. Clinical outcomes were accessed by Japanese Orthopedic Association (JOA), Oswestry Disability Index (ODI), and visual analog scale (VAS) for back pain scores, and changes in walking tolerance and leg numbness were evaluated. Complications were recorded.

RESULTS: A total of 106 patients who met the inclusion and exclusion criteria were included in the study (mean age 64 years, range from 43 to 83). The JOA, ODI, and VAS back pain scores of patients significantly changed between before surgery at subsequent follow-up (P<0.001). The walking tolerance and leg numbness of patients significantly improved (P<0.001), and these functions were well maintained during follow-up. Complications included intraoperative dural tears (n=5), a wound infection (n=1), deep vein thrombosis (n=1), and nerve root lesions on the asymptomatic side (n=2), all of which recovered within 3 months.

CONCLUSIONS: Minimally invasivelaminotomy decompression is an effective procedureand achieves beneficial long-term clinical results for DLSS.

PMID:35644518 | DOI:10.1016/j.wneu.2022.05.087

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Long-term outcomes after minimally invasive bilateral or unilateral laminotomy for degenerative lumbar spinal stenosis: A minimum 10-year follow-up study

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World Neurosurg. 2022 May 26:S1878-8750(22)00727-6. doi: 10.1016/j.wneu.2022.05.087. Online ahead of print.ABSTRACTOBJECTIVE: The optimal surgical procedure for minimal surgical intervention in symptomatic degenerative lumbar stenosis (DLSS) is unknown. This article presents amethod of minimally invasive decompression alone and reports the long-term outcomes and complications of patients treated with minimally invasive bilateral or unilateral laminotomy decompression performed…

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