| The surgical treatment of central lumbar stenosis. Multiple laminotomy compared with total laminectomy. | |
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MedLine Citation:
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PMID: 8496205 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We assigned 67 patients with central lumbar stenosis alternately to either multiple laminotomy or total laminectomy. The protocol, however, allowed multiple laminotomy to be changed to total laminectomy if it was thought that the former procedure might not give adequate neural decompression. There were therefore three treatment groups: group I consisting of 26 patients submitted to multiple laminotomy; group II, 9 patients scheduled for laminotomy but submitted to laminectomy; and group III, 32 patients scheduled for, and submitted to, laminectomy. The mean follow-up was 3.7 years. Bilateral laminotomy at two or three levels required a longer mean operating time than total laminectomy at an equal number of levels. The mean blood loss at surgery and the clinical results did not differ in the three groups. The mean subjective improvement score for low back pain was higher in group I but there was also a higher incidence of neural complications in this group. No patient in group I had postoperative vertebral instability, whereas this occurred in three patients in groups II and III, who had lumbar scoliosis or degenerative spondylolisthesis preoperatively. Multiple laminotomy is recommended for all patients with developmental stenosis and for those with mild to moderate degenerative stenosis or degenerative spondylolisthesis. Total laminectomy is to be preferred for patients with severe degenerative stenosis or marked degenerative spondylolisthesis. |
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Authors:
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F Postacchini; G Cinotti; D Perugia; S Gumina |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. British volume Volume: 75 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 1993 May |
Date Detail:
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Created Date: 1993-06-22 Completed Date: 1993-06-22 Revised Date: 2010-11-10 |
Medline Journal Info:
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Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 386-92 Citation Subset: AIM; IM |
Affiliation:
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University of Modena, Italy. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Blood Loss, Surgical / statistics & numerical data Female Follow-Up Studies Humans Incidence Intraoperative Period Laminectomy / methods, standards* Lumbosacral Region Magnetic Resonance Imaging Male Middle Aged Myelography Postoperative Complications / epidemiology, etiology Severity of Illness Index Spinal Stenosis / classification, radiography, surgery* Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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