지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
오류제보하기
Objective : We compared the results of two surgical techniques by retrospective study of 60 elderly patients (65 years or older) who underwent either decompression alone or fusion for the treatment of two-level or more lumbar spinal stenosis. Methods : During the period of 2003 and 2008, two-level or more decompression alone or fusion was performed for lumbar spinal stenosis by three surgeons at our institution. Patients were allocated to two groups by surgical modality, namely, to a decompression group (31 patients) or a fusion group (29 patients). Overall mean age was 71.1 years (range, 65-84) and mean follow-up was 5.5 years (range, 3-9). A retrospective review of clinical, radiological, and surgical data was conducted. Results : No significant difference between the two groups was found with respect to age, follow-up period, surgical levels, or preoperative condition. At the last follow-up, correction of lumbar lordotic angle (determined radiologically) was better in the fusion group. However, clinical outcomes including visual analogue scale, Oswestry Disability Index, and the Odom's criteria were not significantly different in the two groups. On the other hand, surgical outcomes, such as, operation time, estimated blood loss, and surgical complications were significantly better in the decompression alone group. Conclusion : Our findings suggest that decompressive laminectomy alone achieves good outcomes in patients with two-level or more lumbar spinal stenosis, associated with an advanced age, poor general condition, or osteoporosis.
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등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Aiki H / 2005 / Adjacent segment stenosis after lumbar fusion requiring second operation / J Orthop Sci 10:490~495
Aota Y / 1995 / Postfusion instability at the adjacent segments after rigid pedicle screw fixation for degenerative lumbar spinal disorders / J Spinal Disord 8:464~473
Arnoldi CC / 1976 / Lumbar spinal stenosis and nerve root entrapment syndromes. Definition and classification / Clin Orthop Relat Res :4~5
Bastian L / 2001 / Evaluation of the mobility of adjacent segments after posterior thoracolumbar fixation : a biomechanical study / Eur Spine J 10:295~300
Fredman B / 2002 / Observations on the safety and efficacy of surgical decompression for lumbar spinal stenosis in geriatric patients / Eur Spine J 11:571~574
Aota Y / 1995 / Postfusion instability at the adjacent segments after rigid pedicle screw fixation for degenerative lumbar spinal disorders / J Spinal Disord 8:464~473
Arnoldi CC / 1976 / Lumbar spinal stenosis and nerve root entrapment syndromes. Definition and classification / Clin Orthop Relat Res :4~5
Bastian L / 2001 / Evaluation of the mobility of adjacent segments after posterior thoracolumbar fixation : a biomechanical study / Eur Spine J 10:295~300
Fredman B / 2002 / Observations on the safety and efficacy of surgical decompression for lumbar spinal stenosis in geriatric patients / Eur Spine J 11:571~574
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