본문 바로가기
  • Home

Usefulness of Minimally Invasive Posterior Foraminotomy using Tubular Retractor for Lumbar Spinal Stenosis with Foraminal Stenosis

  • Journal of Korean Society of Spine Surgery
  • Abbr : J Kor Spine Sur
  • 2014, 21(1), pp.15-23
  • Publisher : Korean Society Of Spine Surgery
  • Research Area : Medicine and Pharmacy > Orthopedic Surgery

신헌규 1 최재열 2 정화재 1 KIM, EU GENE ORD ID 1 PARK, SE JIN 1 이승희 3 서동석 3

1성균관대학교
2성균관대학교 의과대학 강북삼성병원 정형외과학교실
3성균관대학교 의과대학 강북삼성병원 정형외과

Accredited

ABSTRACT

Study Design: Retrospective study. Objectives: The aim of this study was to report the usefulness of lumbar posterior foraminotomy and central decompression usingtubular retractor with minimally invasive technique. Summary of Literature Review: Posterior decompression and arthrodesis for the treatment of lumbar spinal stenosis with foraminalstenosis is a classical surgical method. It is inappropriate for patients who have rejection to arthrodesis or medical problems, because itmay have several complications. Materials and Methods: Clinical results were obtained from 12 patients who underwent posterior foraminotomy and centraldecompression from January 2009 to April 2011 and were assessed using a Visual analogue scale, Oswestry disability index and theProlo outcome scale. Results: Six Of 12 patients showed immediate relief of radiculopathy. Postoperative posterior lumbar pain and spasm were negligible,and no surgically related complication was noted. During the follow-up period, the Oswestry disability index decreased from24.25±2.89(pre-op) to 19.33±3.02(Last F/U)(p=0.28, paired t-test) in 8 of 12 patients. Conclusions: A minimally invasive posterior foraminotomy and central decompression could be an alternative surgical option for thetreatment of lumbar spinal stenosis with foraminal stenosis, especially in subjects with old age, having medical problems and refusal ofarthrodesis.

Citation status

* References for papers published after 2022 are currently being built.