A SINGLE CENTER EXPERIENCE ON 43 PATIENTS OPERATED FOR DEGENERATIVE LUMBAR STENOSIS

Yıl 2021, Cilt: 3 Sayı: 2, 41 - 49, 31.08.2021

Faruk Tonga

Öz

Aim: Dejenerative lumbar stenosis is an activity restricting disorder that increases as the spine ages. Though several surgical techniques have been described for treatment, the main purpose is to relieve the neural structures that are under compression. In this study, we aimed to present outcomes of the patients that were treated surgically.
Methods: The records of 43 patients that were surgically treated and followed-up for degenerative lumbar stenosis in our institution between January 2010-August 2013 were evaluated retrospectively. The recorded and analyzed parameters were: age, sex, stenosis level, phyiscal examination findings, surgical complications, and postoperative satisfaction rates based on MacNab criteria.
Results: 26 patients were male and the mean age of the whole population was 62.8. The most common examination findings were neurogenic claudication (n=34) and low back pain (n=32). After an average of 22 months postoperative follow-up, the ratio of patients with excellent-good satisfaction was 74.4%. The rate of complication was 11.6%.
Conclusion: Appropriate patient selection and professional team work improves surgical success.

Anahtar Kelimeler

spinal stenosis, posterior fusion, laminectomy, facetectomy, neural decompression

Proje Numarası

yok

Kaynakça

• Arnoldi, CC., Brodsky, AE.,Cachoix, J., Crock. HV., Dommisse, GF., Edgar, MA., Gargano, FP., Jacobson, RE., Kirkaldy-Willis, WH., Kurihara, A., Langenskiöld, A., Macnab, I., McIvor, GW., Newman, PH., Paine, KW., Russin, LA., Sheldon, J., Tile, M.,Urist, MR., Wilson, WE., Wiltse, LL. (1976). Lumbar spinal stenosis and nerve root entrapment. Syndromes, definition, and classification. Clin Orthop. 115, 4-5.
• Boden, SD., Davis, DO., Dina, TS., Patronas, NJ., & Wiesel, SW. (1990). Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am. 72(3), 403-8.
• Chad, DA. (2007). Lumbar spinal stenosis. Neurol Clin. 25(2), 407-18. doi: 10.1016/j.ncl.2007.01.003
• Devin, K. Binder, Meic, H. Schmidt, Philip, R. Weinstein. Lumbar Spinal Stenosis. (2012). Seminars in neurology. 22(2), 157-66. doi: 10.1055/s-2002-36539
• Egli, D., Hausmann O., Schmid M., Boos N., Dietz V., & Curt A. (2007). Lumbar spinal stenosis: assessment of cauda equina involvement by electrophysiological recordings. J Neurol 254(6), 741-50. doi: 10.1007/s00415-006-0427-1
• Ertekin, C, Seçil, Y. (2010). Lomber Spinal Dar Kanal ve İntermittan Nörolojik Klodikasyon. Turk Norol Derg 16(2), 59-71.
• Genevay, S, Steven, J. Atlas. (2010). Lomber Spinal Stenozis. Best Practice & Research Clinical Rheumatology 24(2), 253–265. doi: 10.1016/j.berh.2009.11.001
• Jeffrey, N. Katz, Mitchel, B. Harris. (2008). Lumbar Spinal Stenosis. N Engl J Med 358(8), 818-25. doi: 10.1056/NEJMcp0708097
• Jensen, MC., Brant-Zawadzki, MN., Obuchowski, N., Modic, MT., Malkasian, D., Ross, JS. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med 331(2), 69-73. doi: 10.1056/NEJM199407143310201
• Paine, K. (1976). Clinical features of lumbar spinal stenosis. Clin Orthop 115, 77-84.
• Richard, W. Porter. (1996). Spinal stenosis and neurogenic claodication. Spine 21(17), 2046-2052.
• Schroeder, GD., Kurd, MF., Vaccaro, A. (2016). Lumbar spinal stenosis: How is it classified. J Am Acad Orthop Surgery 24(12), 843-852. Doi: 10.5435/JAAOS-D-15-00034
• Seçen, A.E., Yiğitkanlı, K. (2018). Lomber Dar Kanal; Patofizyoloji ve Doğal Seyir. Türk Nöroşir Derg 28(2), 216-220.
• Sengupta, DK., Herkowitz, HN.(2003). Lumbar spinal stenosis. Treatment strategies and indications for surgery. Orthop Clin North Am 34(2), 281-95. doi: 10.1016/s0030-5898(02)00069-x
• Siebert, E., Prüss, H., Klingebiel, R., Failli, V., Einhäupl, KM., Schwab, JM. (2009). Lumbar spinal stenosis: syndrome, diagnostics and treatment. Nat Rev Neurol 5(7), 392-403. doi : 10.1038/nrneurol.2009.90
• Verbiest, H. A radicular syndrome from developmental narrowing of the lumbar vertebral canal. (1954). J Bone Joint Surg Br 36-B(2), 230–7.
• Weinstein, JN., Tosteson, TD., Lurie, JD., Tosteson, AN., Blood, E., Hanscom, B., Herkowitz, H., Cammisa, F., Albert, T., Boden, SD., Hilibrand, A., Goldberg, H., Berven, S., An, H.; SPORT Investigators. (2008). Surgical versus nonsurgical therapy for lumbar spinal stenosis. New Engl J Med 358(8), 794-810. doi: 10.1056/NEJMoa0707136