Limited Laminectomy and Restorative Spinoplasty in Spinal Canal Stenosis
Study DesignProspective cohort study.PurposeEvaluation of the clinico-radiological outcome and complications of limited laminectomy and restorative spinoplasty in spinal canal stenosis.Overview of LiteratureIt is critical to achieve adequate spinal decompression, while maintaining spinal stability.M...
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doaj-70ca69b8fe68448cb6ee5de6a60c8ea42020-11-25T02:17:16ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462014-08-018446246810.4184/asj.2014.8.4.462647Limited Laminectomy and Restorative Spinoplasty in Spinal Canal StenosisSukhbir Singh Sangwan0Rakesh Garg1Paritosh Gogna2Zile Singh Kundu3Vinay Gupta4Pradeep Kamboj5Department of Orthopaedics, Paraplegia and Rehabilitation, Pt BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, India.Department of Orthopaedics, Paraplegia and Rehabilitation, Pt BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, India.Department of Orthopaedics, Paraplegia and Rehabilitation, Pt BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, India.Department of Orthopaedics, Paraplegia and Rehabilitation, Pt BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, India.Department of Orthopaedics, Paraplegia and Rehabilitation, Pt BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, India.Department of Orthopaedics, Paraplegia and Rehabilitation, Pt BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, India.Study DesignProspective cohort study.PurposeEvaluation of the clinico-radiological outcome and complications of limited laminectomy and restorative spinoplasty in spinal canal stenosis.Overview of LiteratureIt is critical to achieve adequate spinal decompression, while maintaining spinal stability.MethodsForty-four patients with degenerative lumbar canal stenosis underwent limited laminectomy and restorative spinoplasty at our centre from July 2008 to December 2010. Four patients were lost to follow-up leaving a total of 40 patients at an average final follow-up of 32 months (range, 24-41 months). There were 26 females and 14 males. The mean±standard deviation (SD) of the age was 64.7±7.6 years (range, 55-88 years). The final outcome was assessed using the Japanese Orthopaedic Association (JOA) score.ResultsAt the time of the final follow-up, all patients recorded marked improvement in their symptoms, with only 2 patients complaining of occasional mild back pain and 1 patient complaining of occasional mild leg pain. The mean±SD for the preoperative claudication distance was 95.2±62.5 m, which improved to 582±147.7 m after the operation, and the preoperative anterio-posterior canal diameter as measured on the computed tomography scan was 8.3±2.1 mm, which improved to 13.2±1.8 mm postoperatively. The JOA score improved from a mean±SD of 13.3±4.1 to 22.9±4.1 at the time of the final follow-up. As for complications, dural tears occurred in 2 patients, for which repair was performed with no additional treatment needed.ConclusionsLimited laminectomy and restorative spinoplasty is an efficient surgical procedure which relieves neurogenic claudication by achieving sufficient decompression of the cord with maintenance of spinal stability.http://www.asianspinejournal.org/upload/pdf/asj-8-462.pdfLumbar spineLumbar canal stenosisDecompressionLimited laminectomySpinoplasty |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sukhbir Singh Sangwan Rakesh Garg Paritosh Gogna Zile Singh Kundu Vinay Gupta Pradeep Kamboj |
spellingShingle |
Sukhbir Singh Sangwan Rakesh Garg Paritosh Gogna Zile Singh Kundu Vinay Gupta Pradeep Kamboj Limited Laminectomy and Restorative Spinoplasty in Spinal Canal Stenosis Asian Spine Journal Lumbar spine Lumbar canal stenosis Decompression Limited laminectomy Spinoplasty |
author_facet |
Sukhbir Singh Sangwan Rakesh Garg Paritosh Gogna Zile Singh Kundu Vinay Gupta Pradeep Kamboj |
author_sort |
Sukhbir Singh Sangwan |
title |
Limited Laminectomy and Restorative Spinoplasty in Spinal Canal Stenosis |
title_short |
Limited Laminectomy and Restorative Spinoplasty in Spinal Canal Stenosis |
title_full |
Limited Laminectomy and Restorative Spinoplasty in Spinal Canal Stenosis |
title_fullStr |
Limited Laminectomy and Restorative Spinoplasty in Spinal Canal Stenosis |
title_full_unstemmed |
Limited Laminectomy and Restorative Spinoplasty in Spinal Canal Stenosis |
title_sort |
limited laminectomy and restorative spinoplasty in spinal canal stenosis |
publisher |
Korean Spine Society |
series |
Asian Spine Journal |
issn |
1976-1902 1976-7846 |
publishDate |
2014-08-01 |
description |
Study DesignProspective cohort study.PurposeEvaluation of the clinico-radiological outcome and complications of limited laminectomy and restorative spinoplasty in spinal canal stenosis.Overview of LiteratureIt is critical to achieve adequate spinal decompression, while maintaining spinal stability.MethodsForty-four patients with degenerative lumbar canal stenosis underwent limited laminectomy and restorative spinoplasty at our centre from July 2008 to December 2010. Four patients were lost to follow-up leaving a total of 40 patients at an average final follow-up of 32 months (range, 24-41 months). There were 26 females and 14 males. The mean±standard deviation (SD) of the age was 64.7±7.6 years (range, 55-88 years). The final outcome was assessed using the Japanese Orthopaedic Association (JOA) score.ResultsAt the time of the final follow-up, all patients recorded marked improvement in their symptoms, with only 2 patients complaining of occasional mild back pain and 1 patient complaining of occasional mild leg pain. The mean±SD for the preoperative claudication distance was 95.2±62.5 m, which improved to 582±147.7 m after the operation, and the preoperative anterio-posterior canal diameter as measured on the computed tomography scan was 8.3±2.1 mm, which improved to 13.2±1.8 mm postoperatively. The JOA score improved from a mean±SD of 13.3±4.1 to 22.9±4.1 at the time of the final follow-up. As for complications, dural tears occurred in 2 patients, for which repair was performed with no additional treatment needed.ConclusionsLimited laminectomy and restorative spinoplasty is an efficient surgical procedure which relieves neurogenic claudication by achieving sufficient decompression of the cord with maintenance of spinal stability. |
topic |
Lumbar spine Lumbar canal stenosis Decompression Limited laminectomy Spinoplasty |
url |
http://www.asianspinejournal.org/upload/pdf/asj-8-462.pdf |
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