19 Harley St, London, W1G 9QJ, UK

Resolution of Radiculopathy Following Indirect Versus Direct Decompression in Single Level Lumbar Fusion – Lumbar Spinal Stenosis

This article is a retrospective analysis that aims to evaluate the resolution of radiculopathy in patients undergoing one-level lumbar fusion using indirect or direct decompression techniques. The study included 116 patients who were grouped based on their decompression technique. The results showed that patients who underwent direct decompression experienced greater blood loss but were 4.7 times more likely to achieve full resolution of radiculopathy at 3 months post-surgery. They also demonstrated larger reductions in VAS score and improved motor scores associated with the L5 dermatome at 6 months compared to patients who underwent indirect decompression. However, there were no differences between the two techniques in long-term follow-up. These findings suggest that direct decompression may be beneficial in achieving faster resolution of radiculopathy symptoms, particularly in severely affected patients

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative spine facility in UK

Published article

CONCLUSIONS: Direct decompression was associated with greater resolution of radiculopathy in the near post-operative term, with no differences at long term follow-up when compared with indirect decompression. In particularly debilitated patients, these findings may influence surgeons to perform a direct decompression to achieve more rapid resolution of radiculopathy symptoms.

Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
Global Spine J. 2024 Feb 5:21925682241230926. doi: 10.1177/21925682241230926. Online ahead of print.ABSTRACTSTUDY DESIGN: Retrospective analysis.OBJECTIVES: To evaluate resolution of radiculopathy in one-level lumbar fusion with indirect or direct decompression techniques.METHODS: Patients ≥18 years of age with preoperative radiculopathy undergoing single-level lumbar fusion with up to 2-year follow-up were grouped by indirect and direct decompression. Direct,

Global Spine J. 2024 Feb 5:21925682241230926. doi: 10.1177/21925682241230926. Online ahead of print.

ABSTRACT

STUDY DESIGN: Retrospective analysis.

OBJECTIVES: To evaluate resolution of radiculopathy in one-level lumbar fusion with indirect or direct decompression techniques.

METHODS: Patients ≥18 years of age with preoperative radiculopathy undergoing single-level lumbar fusion with up to 2-year follow-up were grouped by indirect and direct decompression. Direct decompression (DD) group included ALIF and LLIF with posterior DD procedure as well as all TLIF. Indirect decompression (ID) group included ALIF and LLIF without posterior DD procedure. Propensity score matching was used to control for intergroup differences in age. Intergroup outcomes were compared using means comparison tests. Logistic regressions were used to correlate decompression type with symptom resolution over time. Significance set at P < .05.

RESULTS: 116 patients were included: 58 direct decompression (DD) (mean 53.9y, 67.2% female) and 58 indirect decompression (ID) (mean 54.6y, 61.4% female). DD patients experienced greater blood loss than ID. Additionally, DD patients were 4.7 times more likely than ID patients to experience full resolution of radiculopathy at 3 months post-op. By 6 months, DD patients demonstrated larger reductions in VAS score. With regard to motor function, DD patients had improved motor score associated with the L5 dermatome at 6 months relative to ID patients.

CONCLUSIONS: Direct decompression was associated with greater resolution of radiculopathy in the near post-operative term, with no differences at long term follow-up when compared with indirect decompression. In particularly debilitated patients, these findings may influence surgeons to perform a direct decompression to achieve more rapid resolution of radiculopathy symptoms.

PMID:38315111 | DOI:10.1177/21925682241230926

The London Spine Unit : innovative spine facility in UK

Read the original publication:

Resolution of Radiculopathy Following Indirect Versus Direct Decompression in Single Level Lumbar Fusion

Related Posts

0/5 (0 Reviews)

Trusindex Reviews

London Spine Unit Harley Street Hospital

A Focus on High Quality Specialised Care

We are a specialist Private Hospital based on Harley Street, London UK The Harley Street Hospital, Day Surgery Hospital

We provide exclusive health services for individuals seeking Advanced medical, non-surgical or minimally invasive treatments. We are covered by All Insurance Companies apart from AXA PPP

Our Medical Director and Lead Spinal Surgeon Mr Mo Akmal MD is a world renowned Spine Specialist Consultant with over 20 years of experience. He and his team have developed revolutionary techniques to perform all types of Spinal Surgery as a Day Case procedure without traditional General Anaesthetic.

We are constantly improving our techniques for treatment and improving facilities for our patients.

Book your Appointment Now 
Check out our Reviews 
Check out our Patient Videos 
Check our Mr Akmal’s Profile

 

What our patients say ...

Global Spine J. 2024 Feb 5:21925682241230926. doi: 10.1177/21925682241230926. Online ahead of print.ABSTRACTSTUDY DESIGN: Retrospective analysis.OBJECTIVES: To evaluate resolution of radiculopathy in one-level lumbar fusion with indirect or direct decompression techniques.METHODS: Patients ≥18 years of age with preoperative radiculopathy undergoing single-level lumbar fusion with up to 2-year follow-up were grouped by indirect and direct decompression. Direct

Revolutionary Keyhole surgical technique to vaporise bulging discs

Dr Mo Akmal Medical Director
Dr Mo Akmal MD - Lead Spinal Surgeon

Laser Disc Surgery can be performed under local anaesthetic at The Harley Street Hospital.

Initial Consultation

with Consultant Spine Surgeon
£ 250
  • No Waiting Times
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion
  • Review of Previous Scans and Reports

Follow up Consultation

any appointment after initial consultation
£ 180
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion

High Resolution MRI Scan

any Single Region (3.0 Tesla)
£ 600
  • No waiting times
  • Includes Full Radiologist Report
  • Open or Closed MRI scan types
  • Copy of Scan on CD

Website Offer

Pre-Booked Online
£1130
£ 800
  • Initial Consultation
  • MRI Scan (Single Region)
  • Follow Up consultation
  • Same Day One Stop Visit
  • Full Medical and MRI scan Report
  • Copy of scan on CD
Popular

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810