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Ten-Year Clinical Outcomes of Endoscope-Assisted Minimally Invasive Surgical Decompression for Lumbar Spinal Stenosis with Degenerative Spondylolisthesis and Comparison with Conservative Treatment – Lumbar Spinal Stenosis

This article discusses a study that evaluated the 10-year clinical outcomes of endoscope-assisted, minimally invasive surgical (MIS) decompression for lumbar spinal canal stenosis (LSS) with lumbar degenerative spondylolisthesis (DS). The study compared the radiographic changes in patients who underwent this procedure with those who underwent conservative therapy at the 10-year follow-up. The study included 347 patients with DS and LSS, and 114 of them underwent the surgical procedure. The clinical outcomes were assessed using various scores, and radiographic changes were evaluated. The results showed significant improvements in clinical outcomes for the surgical group, and there were no significant differences in radiographic changes between the surgical and conservative therapy groups. The study concluded that the 10-year clinical outcomes of endoscope-assisted MIS decompression for DS were generally good, and the radiographic changes were similar to the natural course of the disease

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised treatment hospital on Harley Street UK

Published article

CONCLUSIONS: The 10-year clinical outcomes of endoscope-assisted MIS decompression for DS were generally good. Furthermore, on radiographic comparison, the progress of spondylolisthesis after this procedure was virtually the same as in the natural course of the disease at 10-year follow-up.

Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
Spine Surg Relat Res. 2023 Oct 13;8(1):73-82. doi: 10.22603/ssrr.2023-0093. eCollection 2024 Jan 27.ABSTRACTINTRODUCTION: This study aimed to evaluate the 10-year clinical outcomes of endoscope-assisted, minimally invasive surgical (MIS) decompression for lumbar spinal canal stenosis (LSS) with lumbar degenerative spondylolisthesis (DS) and to compare the radiographic changes in patients who underwent this procedure with those who,

Spine Surg Relat Res. 2023 Oct 13;8(1):73-82. doi: 10.22603/ssrr.2023-0093. eCollection 2024 Jan 27.

ABSTRACT

INTRODUCTION: This study aimed to evaluate the 10-year clinical outcomes of endoscope-assisted, minimally invasive surgical (MIS) decompression for lumbar spinal canal stenosis (LSS) with lumbar degenerative spondylolisthesis (DS) and to compare the radiographic changes in patients who underwent this procedure with those who underwent conservative therapy at 10-year follow-up.

METHODS: Between April 2007 and April 2010, 347 consecutive patients with DS and evidence of LSS underwent conservative treatment first from 2 to 4 weeks. The 114 patients who failed conservative treatment were then treated surgically by endoscope-assisted MIS decompression. Of them, 91 patients were followed for more than 10 years (group S), and 146 of the 233 patients treated conservatively were followed for more than 10 years (group C). Clinical outcomes of endoscope-assisted MIS decompression were assessed using the Short Form Health Survey-36 score (SF-36), the Roland Morris Disability Questionnaire (RDQ), and the neurological leg symptoms of the Japanese Orthopaedic Association Score (JOA score). Radiographic changes of the two groups were assessed by %slip, dynamic %slip, range of motion (ROM), and the height of the disc (DH) on plain radiographs.

RESULTS: Significant improvements in clinical outcomes on the SF-36, RDQ, and neurological leg symptoms of the JOA were observed. Radiographic assessment did not show significant differences in the assessed items between the two groups at baseline and after last treatment. Both groups had significantly decreased ROM and DH.

CONCLUSIONS: The 10-year clinical outcomes of endoscope-assisted MIS decompression for DS were generally good. Furthermore, on radiographic comparison, the progress of spondylolisthesis after this procedure was virtually the same as in the natural course of the disease at 10-year follow-up.

PMID:38343406 | PMC:PMC10853622 | DOI:10.22603/ssrr.2023-0093

The London Spine Unit : most specialised treatment hospital on Harley Street UK

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Ten-Year Clinical Outcomes of Endoscope-Assisted Minimally Invasive Surgical Decompression for Lumbar Spinal Stenosis with Degenerative Spondylolisthesis and Comparison with Conservative Treatment

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Spine Surg Relat Res. 2023 Oct 13;8(1):73-82. doi: 10.22603/ssrr.2023-0093. eCollection 2024 Jan 27.ABSTRACTINTRODUCTION: This study aimed to evaluate the 10-year clinical outcomes of endoscope-assisted, minimally invasive surgical (MIS) decompression for lumbar spinal canal stenosis (LSS) with lumbar degenerative spondylolisthesis (DS) and to compare the radiographic changes in patients who underwent this procedure with those who
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