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Yıl 2024, , 451 - 456, 28.08.2024

Utku Adilay , Salim Katar , Adil Can Karaoğlu , Prof Dr Bülent Güçlü

https://doi.org/10.53424/balikesirsbd.1452014

Öz

Kaynakça

  • Armin, S. S., Holly, L. T., & Khoo, L. T. (2008). Minimally invasive decompression for lumbar stenosis and disc herniation. Neurosurgical Focus, 25(2), E11. https://doi.org/10.3171/FOC/2008/25/8/E11
  • Borshchenko, I., Gulzatyan, A., Kartavykh, R., & Grin, A. (2019). How I do it: bilateral lumbar spinal canal microsurgical decompression via unilateral approach. Acta Neurochirurgica, 161, 2375-2380. https://doi.org/10.1007/s00701-019-04059-0
  • Costa, F., Sassi, M., Cardia, A., Ortolina, A., De Santis, A., Luccarell, G., et al. (2007). Degenerative lumbar spinal stenosis: analysis of results in a series of 374 patients treated with unilateral laminotomy for bilateral microdecompression. Journal of Neurosurgery: Spine, 7(6), 579-586. https://doi.org/10.3171/SPI-07/12/579
  • Çavuşoğlu, H., Kaya, R. A., Türkmenoglu, O. N., Tuncer, C., Colak, I., & Aydın, Y. (2007). Midterm outcome after unilateral approach for bilateral decompression of lumbar spinal stenosis: 5-year prospective study. European Spine Journal, 16, 2133-2142. https://doi.org/10.1007/s00586-007-0471-2
  • Çavuşoğlu, H., Türkmenoğlu, O., Kaya, R. A., Tuncer, C., Çolak, İ., Şahin, Y., et al. (2007). Efficacy of unilateral laminectomy for bilateral decompression in lumbar spinal stenosis. Turkish Neurosurgery, 17(2). https://doi.org/10.1007/s00586-007-0471-2
  • Deyo, R. A., Mirza, S. K., Martin, B. I., Kreuter, W., Goodman, D. C., & Jarvik, J. G. (2010). Trends, major medical complications, and charges associated with surgery for lumbar spinal stenosis in older adults. Jama, 303(13), 1259-1265. https://doi.org/10.1001/jama.2010.338
  • Fourney, D. R., Dettori, J. R., Norvell, D. C., & Dekutoski, M. B. (2010). Does minimal access tubular-assisted spine surgery increase or decrease complications in spinal decompression or fusion? Spine, 35(9S), S57-S65. https://doi.org/10.1097/BRS.0b013e3181d82bb8
  • Herkowitz, H. N., & Kurz, L. T. (1991). Degenerative lumbar spondylolisthesis with spinal stenosis. A prospective study comparing decompression with decompression and intertransverse process arthrodesis. The Journal of Bone and Joint Surgery, 73(6), 802–808. https://doi.org/10.2106/00004623-199173060-00002
  • Jayarao, M., & Chin, L. S. (2010). Results after lumbar decompression with and without discectomy: comparison of the transspinous and conventional approaches. Operative Neurosurgery, 66(3), ons152-ons160. https://doi.org/10.1227/01.NEU.0000365826.15986.40
  • Katz, J. N., Dalgas, M., Stucki, G., Katz, N. P., Bayley, J., Fossel, A. H., et al. (1995). Degenerative lumbar spinal stenosis Diagnostic value of the history and physical examination. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology, 38(9), 1236-1241. https://doi.org/10.1002/art.1780380910
  • Kayalar, A. E., Onen, M. R., Gerilmez, A., & Naderi, S. (2019). A simple cost-effectiveness analysis of bilateral decompression via unilateral approach versus instrumented total laminectomy and fusion for lumbar spinal stenosis. Turkish Neurosurgery, 29(5), 643-650. https://doi.org/10.5137/1019-5149.JTN.24318-18.1
  • Khoo, L. T., & Fessler, R. G. (2002). Microendoscopic decompressive laminotomy for the treatment of lumbar stenosis. Neurosurgery, 51(5), S2-146. https://doi.org/10.1227/01.NEU.0000031220.75770.29
  • Liu, X., Yuan, S., & Tian, Y. (2013). Modified unilateral laminotomy for bilateral decompression for lumbar spinal stenosis. Spine, 38(12), E732-E737. https://doi.org/10.1097/BRS.0b013e31828fc84c
  • Malmivaara, A., Slätis, P., Heliövaara, M., Sainio, P., Kinnunen, H., Kankare, et al. (2007). Surgical or non-operative treatment for lumbar spinal stenosis?: a randomized controlled trial. https://doi.org/10.1097/01.brs.0000251014.81875.6d
  • Mobbs, R. J., Li, J., Sivabalan, P., Raley, D., & Rao, P. J. (2014). Outcomes after decompressive laminectomy for lumbar spinal stenosis: comparison between minimally invasive unilateral laminectomy for bilateral decompression and open laminectomy. Journal of Neurosurgery: Spine, 21(2), 179-186. https://doi.org/10.3171/2014.4.SPINE13420
  • Overdevest, G. M., Jacobs, W., Vleggeert‐Lankamp, C., Thomé, C., Gunzburg, R., & Peul, W. (2015). Effectiveness of posterior decompression techniques compared with conventional laminectomy for lumbar stenosis. Cochrane database of systematic reviews, (3). https://doi.org/10.1002/14651858.CD010036.pub2
  • Papavero, L., Thiel, M., Fritzsche, E., Kunze, C., Westphal, M., & Kothe, R. (2009). Lumbar spinal stenosis: prognostic factors for bilateral microsurgical decompression using a unilateral approach. Operative Neurosurgery, 65(suppl_6), ons182-ons187. https://doi.org/10.1227/01.NEU.0000341906.65696.08
  • Parikh, K., Tomasino, A., Knopman, J., Boockvar, J., & Härtl, R. (2008). Operative results and learning curve: microscope-assisted tubular microsurgery for 1-and 2-level discectomies and laminectomies. Neurosurgical Focus, 25(2), E14. https://doi.org/10.3171/FOC/2008/25/8/E14
  • Porter, R. W. (1996). Spinal stenosis and neurogenic claudication. Spine, 21(17), 2046-2052. https://doi.org/10.1097/00007632-199609010-00024
  • Schönström, N., Lindahl, S., Willén, J., & Hansson, T. (1989). Dynamic changes in the dimensions of the lumbar spinal canal: an experimental study in vitro. Journal of Orthopaedic Research, 7(1), 115-121. https://doi.org/10.1002/jor.1100070116
  • Szpalski, M., & Gunzburg, R. (2003). Lumbar spinal stenosis in the elderly: an overview. European Spine Journal, 12(Suppl 2), S170-S175. https://doi.org/10.1007/s00586-003-0612-1
  • Weinstein, J. N., Tosteson, T. D., Lurie, J. D., Tosteson, A., Blood, E., Herkowitz, H., et al. (2008). Surgical versus non-surgical therapy for lumbar spinal stenosis. New England Journal of Medicine, 358, 794-810. https://doi.org/10.1056/NEJMoa0707136
  • Weinstein, J. N., Tosteson, T. D., Lurie, J. D., Tosteson, A., Blood, E., Herkowitz, H., et al. (2010). Surgical versus non-operative treatment for lumbar spinal stenosis four-year results of the Spine Patient Outcomes Research Trial (SPORT). Spine, 35(14), 1329. https://doi.org/10.1097/BRS.0b013e3181e0f04d
  • Wewers, M. E., & Lowe, N. K. (1990). A critical review of visual analogue scales in the measurement of clinical phenomena. Research in Nursing & Health, 13(4), 227-236 https://doi.org/10.1002/nur.4770130405
  • Yaman, O., Ozdemir, N., Dagli, A. T., Erdem, A. C. A. R., Dalbayrak, S., & Temiz, C. (2015). A comparison of bilateral decompression via unilateral approach and classic laminectomy in patients with lumbar spinal stenosis: a retrospective clinical study. Turkish Neurosurgery, 25(2). https://doi.org/10.5137/1019-5149.JTN.8710-13.1

Comparison of Bilateral Laminectomy with Unilateral Approach and Open Bilateral Laminectomy in Lumbar Spinal Stenosis

Yıl 2024, , 451 - 456, 28.08.2024

Utku Adilay , Salim Katar , Adil Can Karaoğlu , Prof Dr Bülent Güçlü

https://doi.org/10.53424/balikesirsbd.1452014

Öz

Amaç: Lomber spinal kanal darlığı (LSKD), dekompresyon cerrahisi gerektiren sık görülen bir durumdur, ancak tedavide farklı cerrahi yaklaşımlar vardır. Bu çalışmanın amacı, tek seviyeli LSKD için tek taraflı yaklaşımla iki taraflı dekompresif lomber laminektomi (TYİDL) açık iki taraflı dekompresif lomber laminektominin (AiDL) sonuçlarını karşılaştırmaktır. Yöntem: Ekim 2016 ile Mayıs 2023 arasında tek seviyeli LSS için operasyon geçiren 198 ardışık hasta retrospektif olarak değerlendirildi. Seksen hastaya TYİDL, 118 hastaya AiDL uygulandı. Tüm hastalarda ameliyat öncesi ve 6 ay sonrasında Visual Analog Skala (VAS) skorları ve yürüme süreleri kaydedildi. Operasyon süresi, operasyon komplikasyonları, hastanede kalış süresi, operasyon sırasındaki kan kaybı ve iatrojenik spondilolistezis oranları ölçüldü. Bulgular: Çalışmaya dahil edilen hastaların yaş ortalaması 62.38±12.5 yıldı. TYİDL ve AiDL geçiren hastalar arasında VAS skorları, yürüme süreleri, ameliyat süreleri, ameliyat komplikasyonları ve takiplerinde iatrojenik spondilolistezis açısından istatistiksel olarak anlamlı bir fark yoktu (p > 0.05). Ancak, TYİDL geçiren hastalarda operasyon sırasındaki toplam kan kaybı ve hastanede kalış süresi, AİDL geçiren hastalara göre anlamlı olarak daha kısaydı (p<0.05). Sonuç: TYİDL ve AİDL uygulanan hastalar, operasyon komplikasyonları, VAS skorları, operasyon süresi ve takipteki iatrojenik spondilolistezis oranları açısından benzer sonuçlar gösterdi. Ancak, hastanede kalış süresi ve operasyon sırasındaki kan kaybı miktarı, TYİDL uygulanan hastalarda anlamlı olarak daha kısaydı. Anahtar Kelimeler: Lomber laminektomi, Spinal dar kanal, Tek taraflı yaklaşım

Anahtar Kelimeler

Lumbar lamicectomy, Spinal stenosis Unilateral approach

Etik Beyan

.This study was approved by the Clinical Research Ethics Committee, Balıkesir University Faculty of Medicine, (Decision No. 2023/164, Date: 22/11/2023).

Kaynakça

  • Armin, S. S., Holly, L. T., & Khoo, L. T. (2008). Minimally invasive decompression for lumbar stenosis and disc herniation. Neurosurgical Focus, 25(2), E11. https://doi.org/10.3171/FOC/2008/25/8/E11
  • Borshchenko, I., Gulzatyan, A., Kartavykh, R., & Grin, A. (2019). How I do it: bilateral lumbar spinal canal microsurgical decompression via unilateral approach. Acta Neurochirurgica, 161, 2375-2380. https://doi.org/10.1007/s00701-019-04059-0
  • Costa, F., Sassi, M., Cardia, A., Ortolina, A., De Santis, A., Luccarell, G., et al. (2007). Degenerative lumbar spinal stenosis: analysis of results in a series of 374 patients treated with unilateral laminotomy for bilateral microdecompression. Journal of Neurosurgery: Spine, 7(6), 579-586. https://doi.org/10.3171/SPI-07/12/579
  • Çavuşoğlu, H., Kaya, R. A., Türkmenoglu, O. N., Tuncer, C., Colak, I., & Aydın, Y. (2007). Midterm outcome after unilateral approach for bilateral decompression of lumbar spinal stenosis: 5-year prospective study. European Spine Journal, 16, 2133-2142. https://doi.org/10.1007/s00586-007-0471-2
  • Çavuşoğlu, H., Türkmenoğlu, O., Kaya, R. A., Tuncer, C., Çolak, İ., Şahin, Y., et al. (2007). Efficacy of unilateral laminectomy for bilateral decompression in lumbar spinal stenosis. Turkish Neurosurgery, 17(2). https://doi.org/10.1007/s00586-007-0471-2
  • Deyo, R. A., Mirza, S. K., Martin, B. I., Kreuter, W., Goodman, D. C., & Jarvik, J. G. (2010). Trends, major medical complications, and charges associated with surgery for lumbar spinal stenosis in older adults. Jama, 303(13), 1259-1265. https://doi.org/10.1001/jama.2010.338
  • Fourney, D. R., Dettori, J. R., Norvell, D. C., & Dekutoski, M. B. (2010). Does minimal access tubular-assisted spine surgery increase or decrease complications in spinal decompression or fusion? Spine, 35(9S), S57-S65. https://doi.org/10.1097/BRS.0b013e3181d82bb8
  • Herkowitz, H. N., & Kurz, L. T. (1991). Degenerative lumbar spondylolisthesis with spinal stenosis. A prospective study comparing decompression with decompression and intertransverse process arthrodesis. The Journal of Bone and Joint Surgery, 73(6), 802–808. https://doi.org/10.2106/00004623-199173060-00002
  • Jayarao, M., & Chin, L. S. (2010). Results after lumbar decompression with and without discectomy: comparison of the transspinous and conventional approaches. Operative Neurosurgery, 66(3), ons152-ons160. https://doi.org/10.1227/01.NEU.0000365826.15986.40
  • Katz, J. N., Dalgas, M., Stucki, G., Katz, N. P., Bayley, J., Fossel, A. H., et al. (1995). Degenerative lumbar spinal stenosis Diagnostic value of the history and physical examination. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology, 38(9), 1236-1241. https://doi.org/10.1002/art.1780380910
  • Kayalar, A. E., Onen, M. R., Gerilmez, A., & Naderi, S. (2019). A simple cost-effectiveness analysis of bilateral decompression via unilateral approach versus instrumented total laminectomy and fusion for lumbar spinal stenosis. Turkish Neurosurgery, 29(5), 643-650. https://doi.org/10.5137/1019-5149.JTN.24318-18.1
  • Khoo, L. T., & Fessler, R. G. (2002). Microendoscopic decompressive laminotomy for the treatment of lumbar stenosis. Neurosurgery, 51(5), S2-146. https://doi.org/10.1227/01.NEU.0000031220.75770.29
  • Liu, X., Yuan, S., & Tian, Y. (2013). Modified unilateral laminotomy for bilateral decompression for lumbar spinal stenosis. Spine, 38(12), E732-E737. https://doi.org/10.1097/BRS.0b013e31828fc84c
  • Malmivaara, A., Slätis, P., Heliövaara, M., Sainio, P., Kinnunen, H., Kankare, et al. (2007). Surgical or non-operative treatment for lumbar spinal stenosis?: a randomized controlled trial. https://doi.org/10.1097/01.brs.0000251014.81875.6d
  • Mobbs, R. J., Li, J., Sivabalan, P., Raley, D., & Rao, P. J. (2014). Outcomes after decompressive laminectomy for lumbar spinal stenosis: comparison between minimally invasive unilateral laminectomy for bilateral decompression and open laminectomy. Journal of Neurosurgery: Spine, 21(2), 179-186. https://doi.org/10.3171/2014.4.SPINE13420
  • Overdevest, G. M., Jacobs, W., Vleggeert‐Lankamp, C., Thomé, C., Gunzburg, R., & Peul, W. (2015). Effectiveness of posterior decompression techniques compared with conventional laminectomy for lumbar stenosis. Cochrane database of systematic reviews, (3). https://doi.org/10.1002/14651858.CD010036.pub2
  • Papavero, L., Thiel, M., Fritzsche, E., Kunze, C., Westphal, M., & Kothe, R. (2009). Lumbar spinal stenosis: prognostic factors for bilateral microsurgical decompression using a unilateral approach. Operative Neurosurgery, 65(suppl_6), ons182-ons187. https://doi.org/10.1227/01.NEU.0000341906.65696.08
  • Parikh, K., Tomasino, A., Knopman, J., Boockvar, J., & Härtl, R. (2008). Operative results and learning curve: microscope-assisted tubular microsurgery for 1-and 2-level discectomies and laminectomies. Neurosurgical Focus, 25(2), E14. https://doi.org/10.3171/FOC/2008/25/8/E14
  • Porter, R. W. (1996). Spinal stenosis and neurogenic claudication. Spine, 21(17), 2046-2052. https://doi.org/10.1097/00007632-199609010-00024
  • Schönström, N., Lindahl, S., Willén, J., & Hansson, T. (1989). Dynamic changes in the dimensions of the lumbar spinal canal: an experimental study in vitro. Journal of Orthopaedic Research, 7(1), 115-121. https://doi.org/10.1002/jor.1100070116
  • Szpalski, M., & Gunzburg, R. (2003). Lumbar spinal stenosis in the elderly: an overview. European Spine Journal, 12(Suppl 2), S170-S175. https://doi.org/10.1007/s00586-003-0612-1
  • Weinstein, J. N., Tosteson, T. D., Lurie, J. D., Tosteson, A., Blood, E., Herkowitz, H., et al. (2008). Surgical versus non-surgical therapy for lumbar spinal stenosis. New England Journal of Medicine, 358, 794-810. https://doi.org/10.1056/NEJMoa0707136
  • Weinstein, J. N., Tosteson, T. D., Lurie, J. D., Tosteson, A., Blood, E., Herkowitz, H., et al. (2010). Surgical versus non-operative treatment for lumbar spinal stenosis four-year results of the Spine Patient Outcomes Research Trial (SPORT). Spine, 35(14), 1329. https://doi.org/10.1097/BRS.0b013e3181e0f04d
  • Wewers, M. E., & Lowe, N. K. (1990). A critical review of visual analogue scales in the measurement of clinical phenomena. Research in Nursing & Health, 13(4), 227-236 https://doi.org/10.1002/nur.4770130405
  • Yaman, O., Ozdemir, N., Dagli, A. T., Erdem, A. C. A. R., Dalbayrak, S., & Temiz, C. (2015). A comparison of bilateral decompression via unilateral approach and classic laminectomy in patients with lumbar spinal stenosis: a retrospective clinical study. Turkish Neurosurgery, 25(2). https://doi.org/10.5137/1019-5149.JTN.8710-13.1
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Beyin ve Sinir Cerrahisi (Nöroşirurji)
Bölüm Makaleler
Yazarlar

Utku Adilay 0000-0003-4867-244X

Salim Katar 0000-0002-8311-1122

Adil Can Karaoğlu 0000-0001-9140-3005

Prof Dr Bülent Güçlü 0000-0002-0012-5706

Yayımlanma Tarihi 28 Ağustos 2024
Gönderilme Tarihi 15 Mart 2024
Kabul Tarihi 22 Mayıs 2024
Yayımlandığı Sayı Yıl 2024

Kaynak Göster

APA Adilay, U., Katar, S., Karaoğlu, A. C., Güçlü, P. D. B. (2024). Comparison of Bilateral Laminectomy with Unilateral Approach and Open Bilateral Laminectomy in Lumbar Spinal Stenosis. Balıkesir Sağlık Bilimleri Dergisi, 13(2), 451-456. https://doi.org/10.53424/balikesirsbd.1452014

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