Minimally invasive decompression in sufferers with degenerative spondylolisthesis related to lumbar spinal stenosis. Report of a surgical sequence and assessment of the literature.
Neurol Neurochir Pol. 2018 Jul 02;:
Authors: Montano N, Stifano V, Papacci F, Mazzucchi E, Fernandez E
We reported the outcomes of minimally invasive spinal decompression (MISD) in sufferers with degenerative spondylolisthesis (DS) related to lumbar spinal stenosis (LSS) and carried out a literature assessment so as to consider the medical and radiological outcomes, the issues and reoperation price of MISD procedures in these sufferers. Knowledge of 28 sufferers submitted to MISD for DS related to LSS had been reviewed. We evaluated the Visible Analogue Scale (VAS) each for low again ache (LBP) and legs ache, the Oswestry Incapacity Index (ODI) and the diploma of the slippage. A PubMed search of the English literature was performed. Solely papers with greater than 10 sufferers and reporting explicitly knowledge of sufferers with DS had been included within the evaluation. We discovered a statistically important enchancment of LBP, legs ache and ODI in our sequence. The diploma of slippage was secure at follow-up (FU) without having of reoperation. No main issues occurred. In our literature assessment, we had been capable of analyze the variations in ODI in 156 sufferers and the variations in Japanese Orthopedic Affiliation (JOA) rating in 218 sufferers. We noticed a statistically important enchancment of ODI and JOA rating at FU in comparison with pre-operative. The proportion of slippage, evaluated in 283 sufferers, was unchanged at FU in comparison with pre-operative. The general complication price was 1.6%. The general reoperation price was four.5%. MISD procedures are protected and efficient in sufferers with DS related to LSS and are related to low morbidity and important enchancment of incapacity with out development of slippage.
PMID: 30025719 [PubMed – as supplied by publisher]