Unilateral Decompression Approach for Lumbar Canal Stenosis
试验速览
- 阶段
- 不适用
- 入组人数
- 30
- 主要终点
- back pain
研究概览
简要总结
The purpose of this study was to compare standard open laminectomy with ULBD approach in regard to efficiency, safety, and clinical outcome.
详细描述
Lumbar stenosis is one of the common spinal pathologies; it presents with back pain, leg pain, and neurogenic claudication . Although different surgical modalities are available, the main objective of the operation is decompression of nerve roots and the spinal cord.
Minimally invasive surgical procedures and microsurgical unilateral laminotomy with bilateral spinal canal decompression (ULBD) have been reported to achieve this goal .
The objective of lumbar decompression is to decompress the neural elements while preserving stability and the spinous processes.
The object of this study is to compare outcomes following minimally invasive unilateral laminectomy for bilateral decompression (ULBD) to a standard "open" laminectomy for LSS.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age:40-80 years
- •sex:both sexes
- •symptomatic LSS with radiculopathy , neurogenic claudication , or urinary dysfunction.
- •radiologically confirmed LSS , caused by degenerative changes
- •canal stenosis at a maximum of 2 levels
排除标准
- •were to undergo a concomitant fusion or instrumentation placement;
- •had had previous lumbar surgeries at the same level;
- •had spondylolisthesis of any grade or degenerative scoliosis;
- •had evidence of instability on dynamic radiographs.
研究组 & 干预措施
unilateral laminotomy
patients with lumbar canal stenosis who undergo unilateral laminotomy for bilateral decompression
干预措施: unilateral laminotomy (Procedure)
decompressive laminectomy
patients with lumbar canal stenosis who undergo decompressive laminectomy
干预措施: decompressive laminectomy (Procedure)
结局指标
主要结局
back pain
时间窗: one year
visual analog scale
次要结局
- neurogenic claudication pain(one year)
研究者
ahmed esam mohamed
resident doctor of neurosurgery
Assiut University