Effectiveness of posterior decompression techniques compared with conventional laminectomy for lumbar stenosis

The Cochrane Database of Systematic Reviews
Gijsbert M OverdevestWilco C Peul

Abstract

The gold standard treatment for symptomatic lumbar stenosis refractory to conservative management is a facet-preserving laminectomy. New techniques of posterior decompression have been developed to preserve spinal integrity and to minimise tissue damage by limiting bony decompression and avoiding removal of the midline structures (i.e. spinous process, vertebral arch and interspinous and supraspinous ligaments). To compare the effectiveness of techniques of posterior decompression that limit the extent of bony decompression or avoid removal of posterior midline structures of the lumbar spine versus conventional facet-preserving laminectomy for the treatment of patients with degenerative lumbar stenosis. An experienced librarian conducted a comprehensive electronic search of the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, Web of Science, and the clinical trials registries ClinicalTrials.gov and World Health Organization International Clinical Trials Registry Platform (WHO ICTRP) for relevant literature up to June 2014. We included prospective controlled studies comparing conventional facet-preserving laminectomy versus a posterior decompressive technique that avoids removal of posterior midline str...Continue Reading

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Citations

Mar 5, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Bastian Storzer, Klaus John Schnake
Jun 1, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Klaus John Schnake
Jun 6, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Erland HermansenKari Indrekvam
Nov 8, 2016·BioMed Research International·Pierce D NunleyFred H Geisler
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Dec 20, 2017·Spine Surgery and Related Research·Shinichi Kikuchi
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Jun 20, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Erland HermansenKari Indrekvam
Apr 30, 2019·Scandinavian Journal of Pain·Jenny SetchellPaul W Hodges
Oct 28, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Maria Adriano CostaPaulo Pereira
Apr 13, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Juho HatakkaMikhail Saltychev
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Sep 1, 2021·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·N A KonovalovB A Zakirov

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