A less invasive surgical approach in the lumbar lateral recess stenosis: direct approach to the medial wall of the pedicle

侧隐窝 医学 小关节切除术 椎板切开术 狭窄 外科 腰椎 神经源性跛行 减压 腰椎管狭窄症 椎管狭窄 可视模拟标度 跛行 椎间孔 经皮 间歇性跛行 放射科 椎板切除术 血管疾病 脊髓 精神科 动脉疾病
作者
Ahmėt Çolak,Kıvanç Topuz,Murat Kutlay,Serdar Kaya,Hakan Şimşek,Ahmet Çetinkal,Mehmet Demircan
出处
期刊:European Spine Journal [Springer Nature]
卷期号:17 (12): 1745-1751 被引量:10
标识
DOI:10.1007/s00586-008-0801-z
摘要

The lateral recess is one of the main compression sites in lumbar spinal canal stenosis. Lumbar nerve root is mainly entrapped by bony tissue in compression syndrome. The patient has a long history of back pain in conjunction with claudication symptoms. Besides laminotomy and facetectomy techniques, several specific surgical approaches to treat the lateral recess stenosis have been described. The surgical technique of bilateral lateral recess decompression via subarticular fenestrations used in this study is a less invasive technique, which enables to decompress the neural structures while preserving as much of the bony structures and ligamentum flavum as preferred. In 16 patients, we measured lateral recess heights with computerized tomography. The number of involved lumbar segments was one in 11 patients and two in 5 patients. The visual analogue scale (VAS) results were maintained before, 3 and 12 months after the operation. All patients benefited from the operations. Mean VAS scores were 7.0, 5.5, and 4.0, respectively. There were not any surgery-related complications. Mean follow-up period is 22.6 months. The surgical technique described and used in this study provides easy access to every zone of lateral recess and is safe and effective in treating the lumbar lateral recess stenosis syndrome.
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