Irrigation Endoscopic Decompressive Laminotomy. A New Endoscopic Unilateral Approach for Bilateral Lumbar Decompression: A Blinded Non-randomized Controlled Trial.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Lumbosacral Spinal Stenosis
- Sponsor
- Cairo University
- Enrollment
- 80
- Primary Endpoint
- oswestry disability index
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
The classic laminectomy for surgical treatment of spinal stenosis has considerable morbidity .This is further magnified by the disease being more common in elderly with associated medical comorbidities and being usually global involving multiple levels.The purpose of this study is to present and to evaluate a new endoscopic technique named Irrigation Endoscopic Decompressive Laminotomy (IEDL) for lumbar spinal canal decompression.
Detailed Description
In the IEDL group,2 portals 0.5cm were used one for the endoscope and the other for instruments. For every additional level one portal is added. The endoscope and instruments are directly placed over the surface of lamina without any dissection and saline under pump pressure is used to open a potential working space. Unilateral laminotomy and bilateral decompression under endoscopic vision is performed. In the microsurgical group, bilateral fenestration is performed in the usual manner
Investigators
hesham magdi soliman
doctor
Cairo University
Eligibility Criteria
Inclusion Criteria
- •neurogenic claudication,that correlated with moderate to severe spinal canal stenosis as shown on MRI and resistant to 3 months of conservative management .
Exclusion Criteria
- •predominant back pain or instability
Outcomes
Primary Outcomes
oswestry disability index
Time Frame: 24 months
Secondary Outcomes
- postoperative hospital stay(30 days)
- time required following surgery before return to work(30 days)
- vas for back pain(30 days)