Comparative Study of The Clinical Outcomes of Surgical Techniques in Lumbar Spinal Stenosis: Decompression with or without Instrumentation
Abstract
AIM: The primary aim is to compare laminotomy versus laminectomy plus instrumentation in lumbar spinal stenosis treatment regarding low back pain -radicular pain- muscular weakness and claudication distance after surgery on discharge and after three months of surgery and the secondary objective is to compare complications between the two surgical techniques.
Methods: a 42 consecutive patients had been studied where laminotomy was done in 25 patients (where bilateral laminotomies were done with foraminotomies with preservation of the spinal process and supra and intraspinal ligaments) and decompression with instrumentation were done in 17 patients, low back pain and radicular pain had been assessed using visual analogue scale (VAS) and the functional status was assessed using oswestry disability scale (ODI) and muscle strength was assessed using the medical research council strength scale both on discharge and after the surgery by three months.
Results: in laminotomy group there were 25 patients 13 female and 12 males the median age was 59 years, in the instrumentation group there were 17 patients the mean age was 58.05 with 13 females and 4 males and by comparing results we found that back pain improvement was better in laminotomy alone (p=0.03) and radicular pain improvement was better for decompression with instrumentation (p=0.0468), there were no statistical difference regarding ODI (p=0.511), incidental durotomy (p=0.342) or urinary tract infection (p=0.1406).
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series
Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in Tishreen University Journal for Research and Scientific Studies - Health Sciences Series . The Readers have the right to send, print and subscribe to the initial version of the article, and the title of Tishreen University Journal for Research and Scientific Studies - Health Sciences Series Publisher
journal uses a CC BY-NC-SA license which mean
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
- ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
