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Microdecompression versus Open Laminectomy and Posterior Stabilization for Multilevel Lumbar Spine Stenosis: A Randomized Controlled Trial
المؤلفون المشاركون
Hamawandi, Sherwan A.
Sulaiman, Injam Ibrahim
Al-Humairi, Ameer Kadhim
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-11-07
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background.
Lumbar spinal stenosis most often results from a gradual, degenerative ageing process.
Open or wide decompressive laminectomy was formerly the standard treatment.
However, in recent years, a growing tendency towards less invasive decompressive procedures has emerged.
The purpose of this study was to compare the results of microdecompression with those of open wide laminectomy and posterior stabilization for patients with symptomatic multilevel lumbar spinal stenosis who failed to respond to conservative treatment.
Methods.
This randomized controlled study was conducted between January 2016 and October 2018.
One hundred patients were involved in this study.
All these patients suffered from radicular leg pain with MRI features of multilevel lumbar spinal stenosis and were treated by conservative treatment of medical treatment and physiotherapy without benefit for 6 months.
Those patients were divided into two groups: Group A, 50 microdecompression, and Group B, 50 patients who were treated by open wide laminectomy and posterior stabilization.
Both groups of patients were followed up with ODI (Oswestry disability index) and VAS (visual analogue score) for the back and leg pain for one year.
Results.
The results showed that both groups got significant improvement regarding the Oswestry disability index.
Regarding back pain, there was a significant improvement in both groups with better results in group A due to minimal tissue injury as the advantage of the minimal invasive technique.
In both groups, there was marked improvement of radicular leg pain postoperatively.
Conclusions.
Both microdecompression and wide open laminectomy with posterior stabilization were effective in treatment of multilevel lumbar spinal stenosis with superior results of microdecompression regarding less back pain postoperatively with less blood loss and soft tissue dissection.
Clinical trial number: NCT04087694.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Hamawandi, Sherwan A.& Sulaiman, Injam Ibrahim& Al-Humairi, Ameer Kadhim. 2019. Microdecompression versus Open Laminectomy and Posterior Stabilization for Multilevel Lumbar Spine Stenosis: A Randomized Controlled Trial. Pain Research and Management،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1207341
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Hamawandi, Sherwan A.…[et al.]. Microdecompression versus Open Laminectomy and Posterior Stabilization for Multilevel Lumbar Spine Stenosis: A Randomized Controlled Trial. Pain Research and Management No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1207341
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Hamawandi, Sherwan A.& Sulaiman, Injam Ibrahim& Al-Humairi, Ameer Kadhim. Microdecompression versus Open Laminectomy and Posterior Stabilization for Multilevel Lumbar Spine Stenosis: A Randomized Controlled Trial. Pain Research and Management. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1207341
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1207341
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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