Under microscope bilateral decompression via unilateral approach for the treatment of lumbar stenosis
10.3760/cma.j.issn.1001-2036.2011.03.003
- VernacularTitle:显微外科手术单侧入路双侧减压治疗腰椎管狭窄症
- Author:
Sheng YANG
;
Jianmin LU
;
Dewei ZHAO
;
Peicheng XIN
;
Xinlu LI
;
Haoyi LIAN
;
Xing QIU
;
Dapeng FU
- Publication Type:Journal Article
- Keywords:
Lumbar stenosis;
Minimal invasive operation;
Unilateral approach;
Bilateral decompression
- From:
Chinese Journal of Microsurgery
2011;34(3):179-181,后插1
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the characteristics and efficacy of microscope-assisted bilateral decompression via unilateral approach for the treatment of lumbar stenosis. Methods From June 2007 to June 2010, Sixty case lumbar stenosis with bilateral decompression were treated via unilateral approach under microscopy. Patients were followed up from 6 to 24 months, average (12 ± 4.7) months. Results The pain level of each patient was assessed both before and after the opeartion, using a visual analogue scale (VAS). Intermittent claudication was completely relieved in 57 out of 60 cases, moderately relieved in 3 cases. VAS score decreased from pre-operational 9.08 ± 0.76 to post-operational 2.33 ± 1.43, and there was significantly difference between them. There was no recurrent case during the whole follow-up. Conclusion Bilateral decompression via unilateral approach under microscope is proved to be an effective and safe procedure for the treatment of lumbar stenosis, and have the advantages of minimal invasion, less pain, quick recovery, better effect, little influence on the spinal stability.
