지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 71 - 76 (6page)
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초록· 키워드
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Objective: There are many technical modifications of decompressive lumbar laminectomy. The purpose of this study was to report long-term clinical and radiological outcomes of central decompressive laminoplasty (CDL), the corresponding author’s own modification of lumbar laminectomy for lumbar spinal stenosis (LSS). Methods: Among 100 patients who underwent CDL by a single surgeon between December 2010 and March 2014, 68 patients were included in this study. Mean follow-up time was 37.7 months. Clinical and radiological data were gathered prospectively and reviewed retrospectively. Clinical outcome was measured by using visual analog scale (VAS) for back/buttock and leg, and the Oswestry Disability Index (ODI). Radiological outcome was measured by neutral slippage percentage, dynamic slippage percentage, and dynamic intervertebral angel on sagittal X-ray. Outcomes after CDL were assessed by changes of clinical and radiological parameters from the baseline. Mixed effect model with random patients’ effect as used to test for differences in the repeated measured clinical and radiological data. Results: The patients had no serious complications with an uneventful recovery during the early postoperative period. In the early postoperative period, VAS scores for back/buttock and leg improved significantly and were kept with time (p<0.001). ODI also improved significantly during the postoperative follow-up period (p<0.001). The radiologic parameters were well maintained and showed no progression of instability. During the follow-up, a case of herniated disc at same level recurrence was noted after lifting trauma, and 2 adjacent foraminal stenosis needed additional surgery. Conclusion: CDL provides long-term pain relief and functional restoration without progression of radiological instability.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Adams MA / 1983 / The mechanical function of the lumbar apophyseal joints / Spine (Phila Pa 1976) 8:327~330
Adams MA / 1980 / The resistance to flexion of the lumbar intervertebral joint / Spine (Phila Pa 1976) 5:245~253
Aryanpur J / 1990 / Multilevel lumbar laminotomies: an alternative to laminectomy in the treatment of lumbar stenosis / Neurosurgery 26:429~432
Cavuşoğlu H / 2007 / Midterm outcome after unilateral approach for bilateral decompression of lumbar spinal stenosis: 5-year prospective study / Eur Spine J 16:2133~2142
Getty CJ / 1981 / Partial undercutting facetectomy for bony entrapment of the lumbar nerve root / J Bone Joint Surg Br 63-B:330~335
Adams MA / 1980 / The resistance to flexion of the lumbar intervertebral joint / Spine (Phila Pa 1976) 5:245~253
Aryanpur J / 1990 / Multilevel lumbar laminotomies: an alternative to laminectomy in the treatment of lumbar stenosis / Neurosurgery 26:429~432
Cavuşoğlu H / 2007 / Midterm outcome after unilateral approach for bilateral decompression of lumbar spinal stenosis: 5-year prospective study / Eur Spine J 16:2133~2142
Getty CJ / 1981 / Partial undercutting facetectomy for bony entrapment of the lumbar nerve root / J Bone Joint Surg Br 63-B:330~335
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