The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis

BAKAR, BULENT; akkaya, süleyman; ÖĞDEN, MUSTAFA; DAGLI, Ahmet Turan; KAMAŞAK, Kağan; yüksel, ulaş

doi:10.5137/1019-5149.JTN.22988-18.2

The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis

Mustafa ÖĞDEN, (Kırıkkale Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Kırıkkale, Türkiye)

Ulaş YÜKSEL, (Şanlıurfa Eğitim ve Araştırma Hastanesi, Nöroşirurji Kliniği, Şanlıurfa, Türkiye)

Süleyman AKKAYA, (Kırıkkale Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Kırıkkale, Türkiye)

Kağan KAMAŞAK, (Hitit Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Çorum, Türkiye)

Ahmet Turan DAGLI, (Hitit Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Çorum, Türkiye)

Bülent BAKAR (Kırıkkale Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Kırıkkale, Türkiye)

Turkish Neurosurgery

0 0

Yıl: 2019 Cilt: 29 Sayı: 2 Sayfa Aralığı: 205 - 212 Metin Dili: İngilizce DOI: 10.5137/1019-5149.JTN.22988-18.2 İndeks Tarihi: 06-09-2020

The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis

Öz:

AIM: To investigate the mid-term efficacy of bilateral decompression with a unilateral approach (BDUA) on symptoms and qualityof life of in patients with lumbar spinal stenosis (LSS), with low grade (with percentage slip <25%) degenerative spondylolisthesisor without spondylolisthesis.MATERIAL and METHODS: The study included patients who underwent BDUA due to one or two-level LSS related to degenerativespondylosis and/ or degenerative spondylolisthesis. Pre- and postoperative data of the Oswestry Disability Index (ODI), VisualAnalogue Scale (VAS), and walking distance were compared.RESULTS: Evaluation was made up of a total of 53 patients, comprising 32 males and 21 females with a mean age of 60.6 ±9.0 years. Compared with the preoperative data, VAS, ODI and walking distance improved significantly in all patients at the3-year follow-up examination. Furthermore, a significant improvement was determined in the clinical parameters of patients withdegenerative spondylolisthesis, with no worsening of slip and no requirement for instrumentation. Moreover, when patients wereseparated into two groups according to age, as elderly (>60 years) and adult (<60 years), similar improvements were seen in bothgroups.CONCLUSION: BDUA could be quite effective in reducing pain, improving quality of life and walking distance with no worsening ofthe grade or degree of slipping.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Alimi M, Hofstetter CP, Torres-Campa JM, Navarro-Ramirez R, Cong GT, Njoku I Jr, Härtl R: Unilateral tubular approach for bilateral laminotomy: Effect on ipsilateral and contralateral buttock and leg pain. Eur Spine J 26: 389-396, 2017
2. Balderston RA, Auerbach JD: The Definition of Lumbar Spinal Instability and Its Clinical Significance. Semin Spine Surg 17: 240-242, 2005
3. Boonstra AM, Schiphorst Preuper HR, Reneman MF, Posthumus JB, Stewart RE: Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. Int J Rehabil Res 31: 165-9, 2008
4. Boukebir MA, Berlin CD, Navarro-Ramirez R, Heiland T, Schöller K, Rawanduzy C, Kirnaz S, Jada A, Härtl R: TenStep Minimally Invasive Spine Lumbar Decompression and Dural Repair Through Tubular Retractors. Oper Neurosurg (Hagerstown) 13: 232-245, 2017
5. Burgstaller JM, Porchet F, Steurer J, Wertli MM: Arguments for the choice of surgical treatments in patients with lumbar spinal stenosis-a systematic appraisal of randomized controlled trials. BMC Musculoskelet Disord 16: 96, 2015
6. Dohzono S, Toyoda H, Matsumura A, Terai H, Suzuki A, Nakamura H: Clinical and Radiological Outcomes after Microscopic Bilateral Decompression via Unilateral Approach for Degenerative Lumbar Disease: Minimum 5-Year FollowUp. Asian Spine J 11: 285-293, 2017
7. Edward C. Benzel, M. PélegrinEdward C. Benzel: SPINE SURGERY: Tecniques, Complication, Avoidance, and Management”. Volume one (Second edition). Elsevier Health Sciences, 2004.
8. Fairbank JC, Pynsent PB: The Oswestry Disability Index. Spine 25: 2940-52, 2000
9. Giannadakis C, Solheim O, Jakola AS, Nordseth T, Gulati AM, Nerland US, Nygaard ØP, Solberg TK, Gulati S: Surgery for Lumbar Spinal Stenosis in Individuals Aged 80 and Older: A Multicenter Observational Study. Am Geriatr Soc 64: 2011- 2018, 2016
10. Hu W, Zhao J, Gong C, Zou M, Yuan JH, Liu XY: A comparison of efficacy between unilateral laminectomy approach bilateral decompression and traditional total laminectomy decompression in the treatment of lumbar spinal stenosis. Zhonghua Yi Xue Za Zhi 96: 1673-6, 2016
11. Kelleher MO, Timlin M, Persaud O, Rampersaud YR: Success and failure of minimally invasive decompression for focal lumbar spinal stenosis in patients with and without deformity. Spine 35: 981-7, 2010
12. Machado GC, Ferreira PH, Yoo RI, Harris IA, Pinheiro MB, Koes BW: Surgical options for lumbar spinal stenosis. Cochrane Database Syst Rev 11: CD012421, 2016
13. Moisi M, Fisahn C, Tkachenko L, Tubbs RS, Ginat D, Grunert P, Jeyamohan S, Reintjes S, Ajayi O, Page J, Oskouian RJ, Hanscom D: Unilateral Laminotomy with Bilateral Spinal Canal Decompression for Lumbar Stenosis: A Technical Note. Cureus 8: 623, 2016
14. Müslüman AM, Cansever T, Yılmaz A, Çavuşoğlu H, Yüce İ, Aydın Y: Midterm outcome after a microsurgical unilateral approach for bilateral decompression of lumbar degenerative spondylolisthesis. J Neurosurg Spine 16: 68-76, 2012
15. Nerland US, Jakola AS, Solheim O, Weber C, Rao V, Lønne G, Solberg TK, Salvesen Ø, Carlsen SM, Nygaard ØP, Gulati S: Minimally invasive decompression versus open laminectomy for central stenosis of the lumbar spine: Pragmatic comparative effectiveness study. BMJ 350: 1603, 2015
16. Phan K, Mobbs RJ: Minimally Invasive Versus Open Laminectomy for Lumbar Stenosis: A Systematic Review and Meta-Analysis. Spine 41: 91-100, 2016
17. Phan K, Teng I, Schultz K, Mobbs RJ: Treatment of Lumbar Spinal Stenosis by Microscopic Unilateral Laminectomy for Bilateral Decompression: A Technical Note. Orthop Surg 9: 241-246, 2017
18. Schöller K, Alimi M, Cong GT, Christos P, Härtl R: Lumbar Spinal Stenosis Associated With Degenerative Lumbar Spondylolisthesis: A Systematic Review and Meta-analysis of Secondary Fusion Rates Following Open vs Minimally Invasive Decompression. Neurosurgery 80: 355-367, 2017
19. Schöller K, Steingrüber T, Stein M, Vogt N, Müller T, PonsKühnemann J, Uhl E: Microsurgical unilateral laminotomy for decompression of lumbar spinal stenosis: longterm results and predictive factors. Acta Neurochir (Wien) 158: 1103-13, 2016
20. Spetzger U, Bertalanffy H, Naujokat C, von Keyserlingk DG, Gilsbach JM: Unilateral laminotomy for bilateral decompression of lumbar spinal stenosis. Part I: Anatomical and surgical considerations. Acta Neurochir (Wien) 139: 392– 6, 1997
21. Yakut E, Düger T, Oksüz C, Yörükan S, Ureten K, Turan D, Tüzün F, Kiraz S, Krd N, Kayhan H, Yakut Y, Güler Ç: Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine 29: 581-585, 2004
22. Yaman O, Ozdemir N, Dagli AT, Acar E, Dalbayrak S, Temiz C: A Comparison of Bilateral Decompression via Unilateral Approach and Classic Laminectomy in Patients with Lumbar Spinal Stenosis: A retrospective Clinical Study. Turk Neurosurg 25: 239-45, 2015

APA	ÖĞDEN M, yüksel u, akkaya s, KAMAŞAK K, DAGLI A, BAKAR B (2019). The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis. , 205 - 212. 10.5137/1019-5149.JTN.22988-18.2
Chicago	ÖĞDEN MUSTAFA,yüksel ulaş,akkaya süleyman,KAMAŞAK Kağan,DAGLI Ahmet Turan,BAKAR BULENT The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis. (2019): 205 - 212. 10.5137/1019-5149.JTN.22988-18.2
MLA	ÖĞDEN MUSTAFA,yüksel ulaş,akkaya süleyman,KAMAŞAK Kağan,DAGLI Ahmet Turan,BAKAR BULENT The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis. , 2019, ss.205 - 212. 10.5137/1019-5149.JTN.22988-18.2
AMA	ÖĞDEN M,yüksel u,akkaya s,KAMAŞAK K,DAGLI A,BAKAR B The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis. . 2019; 205 - 212. 10.5137/1019-5149.JTN.22988-18.2
Vancouver	ÖĞDEN M,yüksel u,akkaya s,KAMAŞAK K,DAGLI A,BAKAR B The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis. . 2019; 205 - 212. 10.5137/1019-5149.JTN.22988-18.2
IEEE	ÖĞDEN M,yüksel u,akkaya s,KAMAŞAK K,DAGLI A,BAKAR B "The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis." , ss.205 - 212, 2019. 10.5137/1019-5149.JTN.22988-18.2
ISNAD	ÖĞDEN, MUSTAFA vd. "The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis". (2019), 205-212. https://doi.org/10.5137/1019-5149.JTN.22988-18.2

APA	ÖĞDEN M, yüksel u, akkaya s, KAMAŞAK K, DAGLI A, BAKAR B (2019). The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis. Turkish Neurosurgery, 29(2), 205 - 212. 10.5137/1019-5149.JTN.22988-18.2
Chicago	ÖĞDEN MUSTAFA,yüksel ulaş,akkaya süleyman,KAMAŞAK Kağan,DAGLI Ahmet Turan,BAKAR BULENT The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis. Turkish Neurosurgery 29, no.2 (2019): 205 - 212. 10.5137/1019-5149.JTN.22988-18.2
MLA	ÖĞDEN MUSTAFA,yüksel ulaş,akkaya süleyman,KAMAŞAK Kağan,DAGLI Ahmet Turan,BAKAR BULENT The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis. Turkish Neurosurgery, vol.29, no.2, 2019, ss.205 - 212. 10.5137/1019-5149.JTN.22988-18.2
AMA	ÖĞDEN M,yüksel u,akkaya s,KAMAŞAK K,DAGLI A,BAKAR B The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis. Turkish Neurosurgery. 2019; 29(2): 205 - 212. 10.5137/1019-5149.JTN.22988-18.2
Vancouver	ÖĞDEN M,yüksel u,akkaya s,KAMAŞAK K,DAGLI A,BAKAR B The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis. Turkish Neurosurgery. 2019; 29(2): 205 - 212. 10.5137/1019-5149.JTN.22988-18.2
IEEE	ÖĞDEN M,yüksel u,akkaya s,KAMAŞAK K,DAGLI A,BAKAR B "The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis." Turkish Neurosurgery, 29, ss.205 - 212, 2019. 10.5137/1019-5149.JTN.22988-18.2
ISNAD	ÖĞDEN, MUSTAFA vd. "The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis". Turkish Neurosurgery 29/2 (2019), 205-212. https://doi.org/10.5137/1019-5149.JTN.22988-18.2