Clinical, radiological, and functional evaluation of surgical treatment in degenerative lumbar canal stenosis
Background: Low-back pain (LBP) is extremely prevalent and is the one of the most common causes for people to seek medical attention. As life expectancy continue to increase, prevalence of symptomatic spinal stenosis will increase. Although lumbar stenosis is not life-threatening, it can cause chron...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Manipal College of Medical Sciences, Pokhara
2023-07-01
|
| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/53634 |
| _version_ | 1797790037479260160 |
|---|---|
| author | Mayank Jeswani Vivek Kumar Kankane Avdhesh Shukla Avinash Kumar Avinash Sharma |
| author_facet | Mayank Jeswani Vivek Kumar Kankane Avdhesh Shukla Avinash Kumar Avinash Sharma |
| author_sort | Mayank Jeswani |
| collection | DOAJ |
| description | Background: Low-back pain (LBP) is extremely prevalent and is the one of the most common causes for people to seek medical attention. As life expectancy continue to increase, prevalence of symptomatic spinal stenosis will increase. Although lumbar stenosis is not life-threatening, it can cause chronic and sustained pain and can limit activity severely. Early, accurate diagnosis, and treatment of lumbar stenosis is important in preserving activity in elderly population.
Aims and Objectives: The study was conducted to find the incidence of degenerative lumbar canal stenosis (LCS) among patients of LBP, to evaluate clinicoradiological profile and to evaluate the outcome and complications in the surgically treated patients of degenerative LCS.
Materials and Methods: This prospective study included all patients admitted with LCS under department of neurosurgery, GR medical college and associated J.A. group of Hospitals from December 2021 to December 2022 who underwent surgery. No randomization done.
Results: Out of total 48 patients, 58% were males while 42% were females, 62.5% of patients were of more than 40 years of age, all patients were having LBP and 64.5% of patients were having LBP for the past 1 year. After surgical management, 87.5% of patients shows improvement in symptoms in Oswestry disability index and Visual analog scale scales.
Conclusion: Overall good surgical outcome is obtained and better surgical results in degenerative LCS compared to other studies. Patients with degenerative LCS presenting with back pain and associated neurological deficit are successfully managed with surgical treatment in this study. |
| first_indexed | 2024-03-13T01:59:04Z |
| format | Article |
| id | doaj.art-2237cf99fd9f4a8fb2e95c6f364cddfc |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-03-13T01:59:04Z |
| publishDate | 2023-07-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-2237cf99fd9f4a8fb2e95c6f364cddfc2023-07-02T06:59:48ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762023-07-01147240244https://doi.org/10.3126/ajms.v14i7.53634Clinical, radiological, and functional evaluation of surgical treatment in degenerative lumbar canal stenosisMayank Jeswani 0https://orcid.org/0009-0001-6460-4036Vivek Kumar Kankane 1https://orcid.org/0000-0001-9068-7886Avdhesh Shukla 2https://orcid.org/0000-0003-3583-8332Avinash Kumar 3https://orcid.org/0000-0003-2621-5686Avinash Sharma 4https://orcid.org/0000-0002-2178-3070Senior Resident, Department of Neurosurgery, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India Associate Professor, Department of Neurosurgery, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India Professor, Department of Neurosurgery, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India Senior Resident, Department of Neurosurgery, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India Professor and Head, Department of Neurosurgery, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India Background: Low-back pain (LBP) is extremely prevalent and is the one of the most common causes for people to seek medical attention. As life expectancy continue to increase, prevalence of symptomatic spinal stenosis will increase. Although lumbar stenosis is not life-threatening, it can cause chronic and sustained pain and can limit activity severely. Early, accurate diagnosis, and treatment of lumbar stenosis is important in preserving activity in elderly population. Aims and Objectives: The study was conducted to find the incidence of degenerative lumbar canal stenosis (LCS) among patients of LBP, to evaluate clinicoradiological profile and to evaluate the outcome and complications in the surgically treated patients of degenerative LCS. Materials and Methods: This prospective study included all patients admitted with LCS under department of neurosurgery, GR medical college and associated J.A. group of Hospitals from December 2021 to December 2022 who underwent surgery. No randomization done. Results: Out of total 48 patients, 58% were males while 42% were females, 62.5% of patients were of more than 40 years of age, all patients were having LBP and 64.5% of patients were having LBP for the past 1 year. After surgical management, 87.5% of patients shows improvement in symptoms in Oswestry disability index and Visual analog scale scales. Conclusion: Overall good surgical outcome is obtained and better surgical results in degenerative LCS compared to other studies. Patients with degenerative LCS presenting with back pain and associated neurological deficit are successfully managed with surgical treatment in this study.https://www.nepjol.info/index.php/AJMS/article/view/53634lumbar canal stenosis; laminectomy; oswestry disability index; visual analog scale |
| spellingShingle | Mayank Jeswani Vivek Kumar Kankane Avdhesh Shukla Avinash Kumar Avinash Sharma Clinical, radiological, and functional evaluation of surgical treatment in degenerative lumbar canal stenosis Asian Journal of Medical Sciences lumbar canal stenosis; laminectomy; oswestry disability index; visual analog scale |
| title | Clinical, radiological, and functional evaluation of surgical treatment in degenerative lumbar canal stenosis |
| title_full | Clinical, radiological, and functional evaluation of surgical treatment in degenerative lumbar canal stenosis |
| title_fullStr | Clinical, radiological, and functional evaluation of surgical treatment in degenerative lumbar canal stenosis |
| title_full_unstemmed | Clinical, radiological, and functional evaluation of surgical treatment in degenerative lumbar canal stenosis |
| title_short | Clinical, radiological, and functional evaluation of surgical treatment in degenerative lumbar canal stenosis |
| title_sort | clinical radiological and functional evaluation of surgical treatment in degenerative lumbar canal stenosis |
| topic | lumbar canal stenosis; laminectomy; oswestry disability index; visual analog scale |
| url | https://www.nepjol.info/index.php/AJMS/article/view/53634 |
| work_keys_str_mv | AT mayankjeswani clinicalradiologicalandfunctionalevaluationofsurgicaltreatmentindegenerativelumbarcanalstenosis AT vivekkumarkankane clinicalradiologicalandfunctionalevaluationofsurgicaltreatmentindegenerativelumbarcanalstenosis AT avdheshshukla clinicalradiologicalandfunctionalevaluationofsurgicaltreatmentindegenerativelumbarcanalstenosis AT avinashkumar clinicalradiologicalandfunctionalevaluationofsurgicaltreatmentindegenerativelumbarcanalstenosis AT avinashsharma clinicalradiologicalandfunctionalevaluationofsurgicaltreatmentindegenerativelumbarcanalstenosis |