Unilateral Approach to Decompress the Lumbar Spine Stenosis by Laminotomy and Undercutting of the Lamina; Short-Term Clinical Outcome Alghazali Mousa I.1,*, Ali Raad F. Abd2, Alshabbani Muna Z.2 1Faculity of Medicine, University of Alqadisiyiah, Iraq 2Aldiwaniyiah Teaching Hospital, Iraq *Corresponding author: Mousa I. Alghazali, E-mail: moaedalgazally@yahoo.com
Online published on 4 June, 2019. Abstract Lumbar spinal stenosis(LSS) is very common problem that affect the lumbar spine in people over the age of 55 years and surgery is required with increasing frequency. It is defined as buttock or lower extremity pain due to narrowing in the space available for the neural and vascular elements in the lumbar spine. Aim of study: To evaluate prospectively the outcome and efficacy of decompression for LSS through unilateral approach by undercutting the stenotic elements. This prospective study included 28 patients treated surgically in Al-Diwaniyiah Teaching Hospital from October 2015 to October 2017 who suffering from back pain, leg pain and neurogenic claudication due to degenerative LSS, clinical outcome was measured using visual analogue scale(VAS)and oswestry disability index(ODI). Finally modified Macnab criteria were used to determine functional improvement for all patients at the time of their last follow up. At the time of final follow up, all patients were satisfied with their treatment. The mean±SD for their pre-operative (VAS)and(ODI) improved after the operation. Where these improvements were statistically significant with P-value of <0.001. This approach is efficient surgical procedure to relieve symptoms of LSS by achieving sufficient decompression of the cord and roots with preservations of the posterior spinal elements. Top Keywords Lumbar spine stenosis, unilateral approach, decompression, . Top |