Treatment of lumbar spinal stenosis by extensive unilateral decompression and contralateral autologous bone fusion: operative technique and results

Journal of Neurosurgery
C G DiPierroJohn A Jane

Abstract

A new surgical technique for the treatment of lumbar spinal stenosis features extensive unilateral decompression with undercutting of the spinous process and, to preserve stability, uses contralateral autologous bone fusion of the spinous processes, laminae, and facets. The operation was performed in 29 patients over a 19-month period ending in December of 1991. All individuals had been unresponsive to conservative treatment and presented with low-back pain in addition to signs and symptoms consistent with neurogenic claudication or radiculopathy. Nine had undergone previous lumbar decompressive surgery. The minimum and mean postoperative follow-up times were 2 and 2 1/2 years, respectively. The mean patient age was 64 years; only two patients were younger than 50 years of age. Of the patients with neurogenic claudication, 69% reported complete pain relief at follow-up review. Of those with radicular symptoms, 41% had complete relief and 23% had mild residual pain that was rated 3 or less on a pain-functionality scale of 0 to 10. For the entire sample, this surgery decreased pain from 9.2 to 3.3 (p < 0.0001) on the scale. Sixty-nine percent of patients were satisfied with surgery. Low-back pain was significantly relieved in 62%...Continue Reading

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Citations

Aug 23, 2007·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·Halit CavuşoğluYunus Aydin
Oct 3, 2008·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·Ahmet ColakMehmet N Demircan
Apr 26, 2000·Journal of Spinal Disorders·M MaricondaC Milano
Jan 18, 2011·Journal of Neurosurgery. Spine·Matthias Hubert MorgallaMarcos Soares Tatagiba
Oct 3, 1999·Journal of Neurosurgery·T W VitazS D Glassman
May 7, 2002·Journal of Neurosurgery·Y Nubourgh
Jul 21, 2005·Journal of Neurosurgery. Spine·Daniel K ResnickUNKNOWN American Association of Neurological Surgeons/Congress of Neurological Surgeons
Sep 3, 2011·Indian Journal of Orthopaedics·Surendra Mohan TuliSaurabh Jain
Apr 25, 2012·Surgical Neurology International·Sylvain Palmer, Lisa Davison
Dec 4, 2003·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Zhenglin LiKouichiro Toyoda
Jan 3, 2014·Journal of Biomedical Materials Research. Part a·Uphar ChamoliNaomi Tsafnat
Mar 24, 2017·Veterinary and Comparative Orthopaedics and Traumatology : V.C.O.T·Amanda Miller, Andrew Marchevsky
Jul 7, 2007·Veterinary Surgery : VS·Franck ForterrePeter Schawalder
Nov 7, 2018·Journal of Korean Neurosurgical Society·Francesco CostaFabio Galbusera
Mar 16, 2001·Clinical Orthopaedics and Related Research·K K HansrajF J Dorey
Jul 10, 1998·Neurosurgery·G Lanzino, J A Jane
Sep 1, 1996·Neurosurgery·J P SheehanG A Helm

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