Unilateral Undercutting Laminoplasty in the Treatment of Lumbar Spinal Stenosis - Comparison with Conventional Bilateral Partial Laminectomy - (요추부 척추관 협착증에서 편측 도달법에 의한 척추 후궁 성형술의 결과 - 고식적 양측성 척추 후궁 절제술과의 비교 -)

이재철; SOH JAE WAN (소재완); 황은천; 김연일; Byungjoon Shin (신병준)

Unilateral Undercutting Laminoplasty in the Treatment of Lumbar Spinal Stenosis - Comparison with Conventional Bilateral Partial Laminectomy -

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2009, 16(1), pp.30-37
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

이재철 ¹, SOH JAE WAN ¹, 황은천 ¹, 김연일 ¹, Byungjoon Shin ¹

¹순천향대학교

Candidate

ABSTRACT

Study design: A retrospective study Objectives: Contralateral undercutting laminoplasty via a unilateral laminotomy has been performed instead of bilateral partial laminectomy in lumbar spinal stenosis. This study compared the radiographic and clinical results of undercutting laminoplasty with bilateral partial laminectomy. Summary of literature review: Less invasive surgery has become attractive for minimizing soft tissue injury and reducing the recovery time. Materials and Methods: Twenty five patients, who underwent decompressive surgery for lumbar spinal stenosis and were followed- up more than one year, were enrolled in this study. Unilateral undercutting laminoplasty and bilateral partial laminectomy was performed in 13 and 12 cases, respectively. The blood loss was compared and the presence of instability was observed. The increase in dural cross sectional area was measured in the preoperative and postoperative CT scans. In the clinical assessment, the Oswestry disability index (ODI) and visual analogue scale (VAS) to pain was used. Results: The average blood loss per segment was 273 ml and 436 ml in the laminoplasty and laminectomy group. There was no case of instability after surgery but there was a significant difference in the increase in dural cross sectional area between the two groups: 109.7 ㎟ and 78.6 ㎟ in the laminoplasty and laminectomy group, respectively. The preoperative and final change in the ODI and VAS scores was similar between the two groups. Conclusions: Unilateral undercutting laminoplasty is a minimally invasive procedure with less blood loss than the conventional technique and is equally effective.

KEYWORDS

Lumbar, Spinal stenosis, Undercutting laminoplasty

Citation status

* References for papers published after 2023 are currently being built.

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