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Partial Facetectomy for Lumbar Foraminal Stenosis
Joint Authors
Razi, Afshin
Farcy, Jean Pierre
Kang, Kevin
Rodriguez-Olaverri, Juan Carlos
Hashem, Jenifer
Schwab, Frank
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-07-08
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Several different techniques exist to address the pain and disability caused by isolated nerve root impingement.
Failure to adequately decompress the lumbar foramen may lead to failed back surgery syndrome.
However, aggressive treatment often causes spinal instability or may require fusion for satisfactory results.
We describe a novel technique for decompression of the lumbar nerve root and demonstrate its effectiveness in relief of radicular symptoms.
Methods.
Partial facetectomy was performed by removal of the medial portion of the superior facet in patients with lumbar foraminal stenosis.
47 patients underwent the procedure from 2001 to 2010.
Those who demonstrated neurogenic claudication without spinal instability or central canal stenosis and failed conservative management were eligible for the procedure.
Functional level was recorded for each patient.
These patients were followed for an average of 3.9 years to evaluate outcomes.
Results.
27 of 47 patients (57%) reported no back pain and no functional limitations.
Eight of 47 patients (17%) reported moderate pain, but had no limitations.
Six of 47 patients (13%) continued to experience degenerative symptoms.
Five of 47 patients (11%) required additional surgery.
Conclusions.
Partial facetectomy is an effective means to decompress the lumbar nerve root foramen without causing spinal instability.
American Psychological Association (APA)
Kang, Kevin& Rodriguez-Olaverri, Juan Carlos& Schwab, Frank& Hashem, Jenifer& Razi, Afshin& Farcy, Jean Pierre. 2014. Partial Facetectomy for Lumbar Foraminal Stenosis. Advances in Orthopedics،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-479380
Modern Language Association (MLA)
Kang, Kevin…[et al.]. Partial Facetectomy for Lumbar Foraminal Stenosis. Advances in Orthopedics No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-479380
American Medical Association (AMA)
Kang, Kevin& Rodriguez-Olaverri, Juan Carlos& Schwab, Frank& Hashem, Jenifer& Razi, Afshin& Farcy, Jean Pierre. Partial Facetectomy for Lumbar Foraminal Stenosis. Advances in Orthopedics. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-479380
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-479380