Comparison of Spinous Process-Splitting Laminectomy versus Conventional Laminectomy for Lumbar Spinal Stenosis

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Comparison of Spinous Process-Splitting Laminectomy versus Conventional Laminectomy for Lumbar Spinal Stenosis

STUDY DESIGN Seventy-five patients who had been treated for lumbar spinal stenosis (LSS) were reviewed retrospectively. PURPOSE Invasion into the paravertebral muscle can cause major problems after laminectomy for LSS. To address these problems, we performed spinous process-splitting laminectomy. We present a comparative study of decompression of LSS using 2 approaches. OVERVIEW OF LITERATU...

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Prognostic Factors of Surgical Outcome after Spinous Process-Splitting Laminectomy for Lumbar Spinal Stenosis

STUDY DESIGN A retrospective case review. PURPOSE To assess the clinical and radiographic outcomes and identify the predictive factors associated with poor clinical outcomes after lumbar spinous process-splitting laminectomy (LSPSL) for lumbar spinal stenosis (LSS). OVERVIEW OF LITERATURE LSPSL is an effective surgical treatment for LSS. Special care should be taken in patients with degener...

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Outcome after Surgery of Lumbar Spinal Stenosis: A Randomized Comparison of Bilateral Laminotomy, Trumpet Laminectomy, and Conventional Laminectomy

BACKGROUND Laminectomy is the traditional operating method for the decompression of spinal canal stenosis. New partial decompression processes have been suggested in the treatment of lumbar stenosis. The benefit of a micro surgical approach is the chance of an extensive bilateral decompression of the spinal canal or foramen at one or numerous levels, through a minimal para-spinal muscular separ...

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Long-Term Outcome of Patients Undergoing Microscopic Lumbar Spinous Process-Splitting Laminectomy

Microscopic lumbar spinous process–splitting laminectomy (LSPSL) has been previously reported as the least invasive surgery for patients with lumbar spinal canal stenosis (LSS). An 18-mm diameter tubular retractor was inserted between the split spinous processes and complete microscopic laminectomy performed in single-level decompressions. A cervical retractor was used to open the caudal parts ...

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The cost effectiveness of dynamic and static interspinous spacer for lumbar spinal stenosis compared with laminectomy

Background: The present study aims to evaluate the cost-effectiveness of Dynamic Interspinous Spacer (Coflex®) and Static Spacer (X-STOP ®) compared to Laminectomy (LAMI) in patients with lumbar spinal stenosis.   Methods: A decision-analysis model was developed to estimate the cost-effectiveness. The effectiveness parameters were obtained from a systematic literature review in ...

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ژورنال

عنوان ژورنال: Asian Spine Journal

سال: 2014

ISSN: 1976-1902,1976-7846

DOI: 10.4184/asj.2014.8.6.768