Lumbar unilateral laminotomy for bilateral decompression in lumbar spinal stenosis

Background: Multiple surgical approaches are existing for the management of lumbar canal stenosis. Objective: This study was conducted to assess the outcomes of unilateral laminotomy with bilateral decompression in such cases. Patients and methods: This prospective study was conducted at Manso...

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Main Authors: Amin Sabry, Wael Zakarya, Amr Farid Khalil
Format: Article
Language:English
Published: London Academic Publishing 2020-03-01
Series:Romanian Neurosurgery
Subjects:
Online Access:https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1355
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author Amin Sabry
Wael Zakarya
Amr Farid Khalil
author_facet Amin Sabry
Wael Zakarya
Amr Farid Khalil
author_sort Amin Sabry
collection DOAJ
description Background: Multiple surgical approaches are existing for the management of lumbar canal stenosis. Objective: This study was conducted to assess the outcomes of unilateral laminotomy with bilateral decompression in such cases. Patients and methods: This prospective study was conducted at Mansoura University Hospitals, and we included a total of 12 cases with lumbar canal stenosis. All cases underwent unilateral laminotomy with bilateral canal decompression during the period between July 2017 and July 2018. Post-operative outcomes included ODI, and VAS score for both leg and back pain. Results: The age of the cases ranged between 38 and 62 years. We included 7 males and 5 females. ODI, lower extremity, and back pain showed a significant decrease after the operation (p < 0.05). Conclusion:    Unilateral laminotomy with bilateral canal decompression is a safe and feasible approach to managing LSS. Excellent outcomes are expected regarding leg pain and quality of life, while slight improvement is anticipated regarding low back pain.
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spelling doaj.art-363aaae3233f4140b58a90ade08695ad2022-12-22T01:17:35ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592020-03-01341Lumbar unilateral laminotomy for bilateral decompression in lumbar spinal stenosisAmin SabryWael ZakaryaAmr Farid KhalilBackground: Multiple surgical approaches are existing for the management of lumbar canal stenosis. Objective: This study was conducted to assess the outcomes of unilateral laminotomy with bilateral decompression in such cases. Patients and methods: This prospective study was conducted at Mansoura University Hospitals, and we included a total of 12 cases with lumbar canal stenosis. All cases underwent unilateral laminotomy with bilateral canal decompression during the period between July 2017 and July 2018. Post-operative outcomes included ODI, and VAS score for both leg and back pain. Results: The age of the cases ranged between 38 and 62 years. We included 7 males and 5 females. ODI, lower extremity, and back pain showed a significant decrease after the operation (p < 0.05). Conclusion:    Unilateral laminotomy with bilateral canal decompression is a safe and feasible approach to managing LSS. Excellent outcomes are expected regarding leg pain and quality of life, while slight improvement is anticipated regarding low back pain.https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1355lumbar stenosislumbar decompressionlumbar laminectomyunilateral laminotomybilateral decompressionlumbar spine
spellingShingle Amin Sabry
Wael Zakarya
Amr Farid Khalil
Lumbar unilateral laminotomy for bilateral decompression in lumbar spinal stenosis
Romanian Neurosurgery
lumbar stenosis
lumbar decompression
lumbar laminectomy
unilateral laminotomy
bilateral decompression
lumbar spine
title Lumbar unilateral laminotomy for bilateral decompression in lumbar spinal stenosis
title_full Lumbar unilateral laminotomy for bilateral decompression in lumbar spinal stenosis
title_fullStr Lumbar unilateral laminotomy for bilateral decompression in lumbar spinal stenosis
title_full_unstemmed Lumbar unilateral laminotomy for bilateral decompression in lumbar spinal stenosis
title_short Lumbar unilateral laminotomy for bilateral decompression in lumbar spinal stenosis
title_sort lumbar unilateral laminotomy for bilateral decompression in lumbar spinal stenosis
topic lumbar stenosis
lumbar decompression
lumbar laminectomy
unilateral laminotomy
bilateral decompression
lumbar spine
url https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1355
work_keys_str_mv AT aminsabry lumbarunilaterallaminotomyforbilateraldecompressioninlumbarspinalstenosis
AT waelzakarya lumbarunilaterallaminotomyforbilateraldecompressioninlumbarspinalstenosis
AT amrfaridkhalil lumbarunilaterallaminotomyforbilateraldecompressioninlumbarspinalstenosis