Clinical Analysis of Bone Fusion for Spinal Stenosis with and without Instrumentation.
- Author:
Jin Man KIM
1
;
Sang Joon SHIM
;
Joon Ho JO
;
Soo Il YU
;
Young Dae KWON
;
Yong Seong LEE
Author Information
1. Department of Neurosurgery, Incheon Christian Hospital, Incheon, Korea.
- Publication Type:Original Article
- Keywords:
Spinal stenosis;
Decompressive surgery;
Bone fusion;
Instrumentation
- MeSH:
Decompression;
Female;
Follow-Up Studies;
Foraminotomy;
Humans;
Laminectomy;
Male;
Spinal Stenosis*;
Spine;
Zygapophyseal Joint
- From:Journal of Korean Neurosurgical Society
1998;27(9):1216-1223
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spinal stenosis has several types of etiology such as degenerative, spondylolisthetic and postoperative, etc. Operative management for spinal stenosis is adequate decompression and stabilization of the unstable lumbar spine created by the decompressive procedure. We analysed 52 operative cases of spinal stenosis delete from January 1994 to October 1996. The following results were obtained 1) The male and female ratio was 1:1.9 and mean age was 52.1 years old 2) Mean follow-up period was 20.3 months 3) The involved site was one level in(28)(53.9%), two level in(19)(36.5%), and three levels in(5)(9.6%) 4) For decompression method, total laminectomy combined with foraminotomy and facetectomy was employed procedure. 5) For stabilization, bilateral posterolateral fusion was performed in major damaged facet joint and transverse process. Instrumentation was combined in 61.5% delete of all cases 6) According to the criteria of Kirkaldy-willis, excellent and good results were shown in 90.6% of fused group with instrumentation and 85% of fused group without instrumentation.
