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Journals / Journal of Turkish Spinal Surgery / 2015 / Cilt: 26 - Sayı: 3

LOMBER DAR KANAL HASTALARINDA UNILATERAL YAKLAŞIM ILE BILATERAL MIKRODEKOMPRESYON: KISA DÖNEM SONUÇLARI

UNILATERAL APPROACH FOR BILATERAL SPINAL MICRODECOMPRESSION IN LUMBAR SPINAL STENOSIS: SHORT TERM RESULTS

SELÇUK ÖZDOĞAN
Cumhur Kaan YALTIRIK
Başar ATALAY
Mehmet TİRYAKİ
Ali Haluk DÜZKALIR
Hüsnü SÜSLÜ
Pages
205–209
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The pain release rate was 86%.Many literature analysis results are similar when inspected.Conclusions: The main point of the unilateral approach bilateral microdecompression for treating lumbar spinal stenosis is minimal invasive surgery with satisfactory decompression.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Lumbar spinal stenosis is a frequent cause of back and leg pain in patients over 50.
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Key Findings & Data:Degenerative spinal stenosis may be due to intervertebral disk bulging, joint facet hypertrophy, thickening of the ligamentum flavum and spondylolisthesis.Materials and Method: We observed 28 patients retrospectively.
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Conclusion & Impact:The pain release rate was 86%.Many literature analysis results are similar when inspected.Conclusions: The main point of the unilateral approach bilateral microdecompression for treating lumbar spinal stenosis is minimal invasive surgery with satisfactory decompression.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Lumbar spinal stenosis is a frequent cause of back and leg pain in patients over 50. Stenosis can be caused by congenital lesions or degenerative changes. Degenerative spinal stenosis may be due to intervertebral disk bulging, joint facet hypertrophy, thickening of the ligamentum flavum and spondylolisthesis.Materials and Method: We observed 28 patients retrospectively. All patients have back and/or leg pain with neurogenic claudication. The patients were scored by numerical pain scale with zero to ten that zero is no pain and ten is the worst. During the surgeries all stenosis levels treated by unilateral approach with bilateral microdecompression.Results: At the end of 1 month follow up, all of the patients got rid of the neurogenic claudication. The pain release rate was 86%.Many literature analysis results are similar when inspected.Conclusions: The main point of the unilateral approach bilateral microdecompression for treating lumbar spinal stenosis is minimal invasive surgery with satisfactory decompression.

Özet

Amaç: Lomber spinal dar kanal hastalığı 50 yaş üstünde sırt e bacak ağrısının en çok görülen sebeplerinden biridir. Dar kanal konjenital lezyonlar sonucu oluşabileceği gibi dejeneratif sebeplerle de oluşabilmektedir. Dejeneratif spinal dar kanal a yol açan sebepler intervertebral diskin taşması, faset eklem hipertrofisi, ligamentum flavum hipertrofisi ve spondilolistezis olarak sayılabilir.Materyal ve Metod: 28 hastayı retrospektif olarak inceledik. Tüm hastalarda sırt veya bacak ağrısının yanında nörojenik kladikasyo bulunmaktaydı. Hastalar 0 dan 10 a kadar olan 0 ağrısız ve 10 en çok ağrı olmak üzere numaralandırılmış ağrı skorlaması ile değerlendirildi. Cerrahi uygulanan seviyelerde unilateral yaklaşım ile bilateral mikrodekompresyon uygulandı.Sonuçlar: Hasta takiplerinin 1. ayın sonunda tüm hastaların nörojenik kladikasyosu iyileşmişti. Ağrı azalma oranı %86 olarak bulundu. Literatürdeki çoğu çalışmayı destekler sonuçlar elde edilmiştir.Çıkarım: Unilateral yaklaşım ile bilateral mikrodekompresyon ile tedavinin dikkat çekici noktası minimal invaziv yaklaşım ile tatmin edici dekompresyon elde edilmesidir.

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Cite This Article

ÖZDOĞAN, S., YALTIRIK, C. K., ATALAY, B., TİRYAKİ, M., DÜZKALIR, A. H., SÜSLÜ, H. (2015). LOMBER DAR KANAL HASTALARINDA UNILATERAL YAKLAŞIM ILE BILATERAL MIKRODEKOMPRESYON: KISA DÖNEM SONUÇLARI. Journal of Turkish Spinal Surgery, Cilt: 26 - Sayı: 3, 205–209. https://ajindex.com/articles/203796

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References (12)

  1. Airaksinen O, Herno A, Turunen V, Saari T, Suomlainen O. Surgical outcome of 438 patients treated surgically for lumbar spinal stenosis. Spine 1997; 22(19): 2278-2282
  2. Benz RJ, Garfin SR. Current techniques of decompression of the lumbar spine. Clin Orthop 2001; 384: 75-81
  3. Cavuşoğlu H, Türkmenoğlu O, Kaya RA, Tuncer C, Colak I, Sahin Y, Aydin Y. Efficacy of unilateral laminectomy for bilateral decompression in lumbar spinal stenosis. Turk Neurosurg 2007; 17(2): 100-108. 4. diPiero CG, Helm GA, Shaffrey CI, Chadduck JB, Henson SL, Malik JM, Szabo TA, Simmons NE, Jane JA. Treatment of lumbar spinal stenosis by extensive unilateral decompression and contralateral autolougs bone fusion: operative technique and results. J Nuerosurg 1996; 84(2): 166-173
  4. Epstein NE. Decompression in the surgical management of degenerative spondylolisthesis: advantages of a conservative approach in 290 patients. J Spinal Disord 1998; 11(2): 116-122, discussion 123
  5. Haba K, Ikeda M, Soma M, Yamashima T. Bilateral decompression of multilevel lumbar spinal stenosis through a unilateral approach. J Clinical Neurosci 2005; 12(2): 169-171
  6. Hurri H, Slatis P, Soini J, Tallroth K, Alaranta H, Laine T, Heliovaara M. Lumbar spinal stenosis: assessment of long-term outcome 12 years after operative and conservative management. J Spin Disor 1998; 11(2): 110-115
  7. Ji YC, KimYB, Hwang SN, Park SW, Kwon JT, Min BK. Efficacy of Unilateral Laminectomy for Bilateral Decompression in Elderly Lumbar Spinal Stenosis. J Korean Neurosurg Soc 2005; 37: 410-415
  8. Mariconda M, Fava R, Gatto A, Longo C, Milano C. Unilateral laminectomy for bilateral decompression of lumbar spinal stenosis: a prospective comparative study with conservatively treated patients. J Spinal Disord Tech 2002; 15(1): 39-46
  9. Paker N, Türkmen C, Buğdaycı D, Tekdöş D, Erbil M. Comparison of conservative and surgical treatment results in lumbar spinal stenosis. Turkish Neurosurgery 2005; 15(4): 182-184
  10. Palmer S, Turner R, Palmer R. Bilateral decompression of lumbar spinal stenosis involving a unilateral approach with microscope and tubular retractor system. J Neurosurg 2002; 97(2 Suppl): 213-217
  11. Spetzger U, Bertalanffy H, Reinges MH, Gilsbach JM. Unilateral laminotomy for bilateral decompression of lumbar spinal stenosis. Part II: Clinical experiences. Acta Neurochir 1997; 139(5): 397-403
  12. Şahinoğlu M, Dalgıç A, Alagöz F, Karakoyun O, Çetinalp NE, Uçkun Ö, Acar OA, Dağlıoğlu E, Belen AD. Lomber d