| Unilateral laminotomy for bilateral decompression of lumbar spinal stenosis. Part II: Clinical experiences. | |
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MedLine Citation:
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PMID: 9204107 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The surgical aim in the treatment of symptomatic lumbar spinal stenosis is the relief of the patient's complaints by an adequate neural decompression. Unilateral laminotomy and bilateral spinal canal decompression represents such a safe, effective and minimally invasive surgical method. This technique has been successfully used in the operative treatment of 29 patients with symptomatic mono- or multisegmental lumbar stenosis. There was no surgically induced neurological deterioration. In one patient, an inadvertent dural tear occurred, and due to unchanged symptoms another patient with a multisegmental stenosis had to be re-operated on at an additional level. Postoperatively, 25 of the 27 patients with neurogenic claudication (93%) demonstrated a marked improvement of the walking distance. The follow-up of 25 patients (mean follow-up time was 18 months) demonstrated an excellent result without pain in 7 patients (28%); a good outcome with mild residual pain, but a normal working capacity in 15 patients (60%); and a fair outcome with unchanged postoperative low-back pain but markedly improved working capacity and walking distance in 3 patients (12%). Postoperative morphometric evaluation as well as the clinical improvement of the patient's symptoms clearly demonstrated that bilateral ligamentectomy and recess decompression were adequately and successfully achieved via unilateral approach. |
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Authors:
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U Spetzger; H Bertalanffy; M H Reinges; J M Gilsbach |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta neurochirurgica Volume: 139 ISSN: 0001-6268 ISO Abbreviation: Acta Neurochir (Wien) Publication Date: 1997 |
Date Detail:
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Created Date: 1997-08-29 Completed Date: 1997-08-29 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0151000 Medline TA: Acta Neurochir (Wien) Country: AUSTRIA |
Other Details:
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Languages: eng Pagination: 397-403 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Medical Faculty, Techical University of Aachen, Federal Republic of Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Decompression, Surgical / methods* Female Functional Laterality / physiology* Humans Image Processing, Computer-Assisted Laminectomy / methods* Lumbar Vertebrae / radiography, surgery Male Microsurgery / methods Middle Aged Neurologic Examination Postoperative Complications / radiography Reoperation Spinal Cord Compression / radiography, surgery* Spinal Stenosis / radiography, surgery* Surgical Procedures, Minimally Invasive Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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