“Slalom”: Microsurgical Cross-Over Decompression for Multilevel Degenerative Lumbar Stenosis
Joint Authors
Mayer, H. Michael
Heider, Franziska
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-07-18
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
Selective, bilateral multisegmental microsurgical decompression of lumbar spinal canal stenosis through separate, alternating cross-over approaches.
Indications.
Two-segmental and multisegmental degenerative central and lateral lumbar spinal stenosis.
Contraindications.
None.
Surgical Technique.
Minimally invasive, muscle, and facet joint-sparing bilateral decompression of the lumbar spinal canal through 2 or more alternating microsurgical cross-over approaches from one side.
Results.
From December 2010 until December 2015 we operated on 202 patients with 2 or multisegmental stenosis (115 f; 87 m; average age 69.3 yrs, range 51–91 yrs).
All patients were suffering from symptoms typical of a degenerative lumbar spinal stenosis.
All patients complained about back pain; however the leg symptoms were dominant in all cases.
Per decompressed segment, the average OR time was 36 min and the blood loss 45.7 cc.
Patients were mobilized 6 hrs postop and hospitalization averaged 5.9 days.
A total of 116/202 patients did not need submuscular drainage.
27/202 patients suffered from a complication (13.4%).
Dural tears occurred in 3.5%, an epidural hematoma in 5.5%, a deep wound infection in 1.98%, and a temporary radiculopathy postop in 1.5%.
Postop follow-up ranged from 12 to 24 months.
There was a significant improvement of EQ 5 D, Oswestry Disability Index (ODI), VAS for Back and Leg Pain, and preoperative standing times and walking distances.
American Psychological Association (APA)
Mayer, H. Michael& Heider, Franziska. 2016. “Slalom”: Microsurgical Cross-Over Decompression for Multilevel Degenerative Lumbar Stenosis. BioMed Research International،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1099228
Modern Language Association (MLA)
Mayer, H. Michael& Heider, Franziska. “Slalom”: Microsurgical Cross-Over Decompression for Multilevel Degenerative Lumbar Stenosis. BioMed Research International No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1099228
American Medical Association (AMA)
Mayer, H. Michael& Heider, Franziska. “Slalom”: Microsurgical Cross-Over Decompression for Multilevel Degenerative Lumbar Stenosis. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1099228
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099228