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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 272 - 282 (11page)
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초록· 키워드
오류제보하기
Study Design: This retrospective study involved 450 consecutive cases of degenerative lumbar stenosis treated with percutaneous stenoscopic lumbar decompression (PSLD). Purpose: We determined the feasibility of PSLD for lumbar stenosis at single and multiple levels (minimum 1-year follow-up) by image analysis to observe postoperative widening of the vertebral canal in the area. Overview of Literature: The decision not to perform an endoscopic decompression might be due to the surgeon being uncomfortable with conventional microscopic decompression or unfamiliar with endoscopic techniques or the unavailability of relevant surgical tools to completely decompress the spinal stenosis. Methods: The decompressed canal was compared between preoperative controls and postoperative treated cases. Data on operative results, including length of stay, operative time, and surgical complications, were analyzed. Patients were assessed clinically on the basis of the Visual Analog Scale (VAS) score for the back and legs and using the Oswestry Disability Index (ODI). Results: Postoperative magnetic resonance imaging revealed that PSLD increased the canal cross-sectional area by 52.0% compared with the preoperative area at the index segment (p<0.001) and demonstrated minimal damage to the normal soft tissues including muscles and the extent of removed normal bony tissues. Mean improvements in VAS score and ODI were 4.0 (p<0.001) and 40% (p<0.001), respectively. Conclusions: PSLD could be an alternative to microscopic or microendoscopic decompression with various advantages in the surgical management of lumbar stenosis.
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등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
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
Rosen DS / 2007 / Minimally invasive lumbar spinal decompression in the elderly : outcomes of 50 patients aged 75 years and older / Neurosurgery 60:503~509
Marawar SV / 2017 / Surgeon reliability for the assessment of lumbar spinal stenosis on MRI : the impact of surgeon experience / Int J Spine Surg 11:34
Gunzburg R / 2003 / The conservative surgical treatment of lumbar spinal stenosis in the elderly / Eur Spine J 12(Suppl 2):S176~S180
Jackson RP / 2012 / Lumbar spinal stenosis : treatment options for an aging population / Mo Med 109:466~469
Rosen DS / 2007 / Minimally invasive lumbar spinal decompression in the elderly : outcomes of 50 patients aged 75 years and older / Neurosurgery 60:503~509
Marawar SV / 2017 / Surgeon reliability for the assessment of lumbar spinal stenosis on MRI : the impact of surgeon experience / Int J Spine Surg 11:34
Gunzburg R / 2003 / The conservative surgical treatment of lumbar spinal stenosis in the elderly / Eur Spine J 12(Suppl 2):S176~S180
Jackson RP / 2012 / Lumbar spinal stenosis : treatment options for an aging population / Mo Med 109:466~469
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