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논문 기본 정보

자료유형
학술저널
저자정보
Yang, Sang-Mi (Department of Neurosurgery, College of Medicine, Soonchunhyang University) Park, Hyung-Ki (Department of Neurosurgery, College of Medicine, Soonchunhyang University) Chang, Jae-Chil (Department of Neurosurgery, College of Medicine, Soonchunhyang University) Kim, Ra-Sun (Department of Neurosurgery, College of Medicine, Soonchunhyang University) Park, Sukh-Que (Department of Neurosurgery, College of Medicine, Soonchunhyang University) Cho, Sung-Jin (Department of Neurosurgery, College of Medicine, Soonchunhyang University)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제54권 제3호
발행연도
2013.1
수록면
194 - 200 (7page)

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Objective : Lumbar spine stenosis (LSS) can result in symptomatic compression of the neural elements, requiring surgical treatment if conservative management fails. Minimally invasive surgery has come to be more commonly used for the treatment of LSS. The current study describes outcomes of bilateral microdecompression by unilateral or bilateral laminotomy (BML) for degenerative LSS after a minimum follow-up period of 3 years and investigates factors that result in a poor outcome. Methods : Twenty-one patients who were followed-up for at least 3 years were included in this study. For clinical evaluation, the Japanese Orthopedic Association (JOA) scoring system for low back pain was used. The modified grading system of Finneson and Cooper was used for outcome assessment. Radiographic evaluation was also performed for spondylolisthesis, sagittal rotation angle, and disc height. Results : Twenty-one patients (10 men, 11 women) aged 53-82 years ($64.1{\pm}8.9$ years) were followed-up for a minimum of 3 years (36-69 months). During follow-up, two patients underwent reoperation. Average preoperative JOA score and clinical symptoms, except persistent low back pain, improved significantly at the latest follow-up. There were no significant differences in radiological findings preoperatively and postoperatively. Thirteen patients (61.9%) had excellent to fair outcomes. Conclusion : BML resulted in a favorable and persistent outcome for patients with degenerative LSS without radiological instability over a mid-term follow-up period. Persistent low back pain unrelated to postoperative instability adversely affects mid-term outcomes.
#Minimally invasive #Lumbar stenosis #Laminotomy #Midterm #Outcomes

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참고문헌 (37)

참고문헌 신청
Aryanpur J / 1990 / Multilevel lumbar laminotomies : an alternative to laminectomy in the treatment of lumbar stenosis / Neurosurgery 26:429~432 google schola Atlas SJ / 2005 / Long-term outcomes of surgical and nonsurgical management of lumbar spinal stenosis : 8 to 10 year results from the maine lumbar spine study / Spine (Phila Pa 1976) 30:936~943 google schola CavuŞoğlu H / 2007 / Midterm outcome after unilateral approach for bilateral decompression of lumbar spinal stenosis : 5-year prospective study / Eur Spine J 16:2133~2142 google schola Costa F / 2007 / Degenerative lumbar spinal stenosis : analysis of results in a series of 374 patients treated with unilateral laminotomy for bilateral microdecompression / J Neurosurg Spine 7:579~586 google schola Finneson BE / 1979 / A lumbar disc surgery predictive score card. A retrospective evaluation / Spine (Phila Pa 1976) 4:141~144 google schola

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