Single Incision Tubular Decompression to Treat Multi-level Lumbar Spinal Stenosis: A Retrospective Review
Objective To evaluate the technical feasibility and assess the clinical outcomes of tubular decompression (TD) in cases of multilevel lumbar canal stenosis operated through a single incision. TD has established itself in the surgical management of single level lumbar stenosis. Literature on performa...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Minimally Invasive Spine Surgery Society
2022-04-01
|
| Series: | Journal of Minimally Invasive Spine Surgery and Technique |
| Subjects: | |
| Online Access: | http://www.jmisst.org/upload/pdf/jmisst-2022-00416.pdf |
| _version_ | 1797951457707687936 |
|---|---|
| author | Arvind Gopalrao Kulkarni Ashwin kumar V Khandge Thonangi Yeshwanth |
| author_facet | Arvind Gopalrao Kulkarni Ashwin kumar V Khandge Thonangi Yeshwanth |
| author_sort | Arvind Gopalrao Kulkarni |
| collection | DOAJ |
| description | Objective To evaluate the technical feasibility and assess the clinical outcomes of tubular decompression (TD) in cases of multilevel lumbar canal stenosis operated through a single incision. TD has established itself in the surgical management of single level lumbar stenosis. Literature on performance of TD for multilevel stenosis through a single incision are non-existent. Methods All patients undergoing TD for multilevel lumbar stenosis through a single incision from January 2007 to January 2018 were included. Patient demographics, operative and peri-operative details were documented. Patient based clinical outcomes, namely Visual Analogue Scale (VAS) scale for back and leg pain and Oswestry Disability Index (ODI) were assessed. Results Favorable tube trajectory and adequate decompression could be achieved through a single incision to decompress multiple levels. The VAS improved from mean 3±1.5 (2–5) to 2±0.8 (1–4) and 7±1.4 (4–9) to 2±1 (1–5) for back and leg pain respectively; while the ODI improved from a mean 44.6±8.6 (32–68) to 20.2±5.3 (16–42) at 3 months post-op and was maintained at 1±0.8 (1–4), 1.6±0.67 (1–3) and 19±2.9 (16–26) respectively at 2 years follow-up. Conclusion TD for multilevel stenosis done through a single incision is a feasible option with good to excellent results. |
| first_indexed | 2024-04-10T22:30:52Z |
| format | Article |
| id | doaj.art-9b12cac0a35743c4ad6505b2b5897f4c |
| institution | Directory Open Access Journal |
| issn | 2508-2043 |
| language | English |
| last_indexed | 2024-04-10T22:30:52Z |
| publishDate | 2022-04-01 |
| publisher | Korean Minimally Invasive Spine Surgery Society |
| record_format | Article |
| series | Journal of Minimally Invasive Spine Surgery and Technique |
| spelling | doaj.art-9b12cac0a35743c4ad6505b2b5897f4c2023-01-17T04:44:25ZengKorean Minimally Invasive Spine Surgery SocietyJournal of Minimally Invasive Spine Surgery and Technique2508-20432022-04-0171465210.21182/jmisst.2022.00416133Single Incision Tubular Decompression to Treat Multi-level Lumbar Spinal Stenosis: A Retrospective ReviewArvind Gopalrao Kulkarni0Ashwin kumar V Khandge1Thonangi Yeshwanth2 Mumbai Spine Scoliosis and Disc Replacement Centre, Bombay Hospital and Medical Research Centre, Mumbai, India Mumbai Spine Scoliosis and Disc Replacement Centre, Bombay Hospital and Medical Research Centre, Mumbai, India Mumbai Spine Scoliosis and Disc Replacement Centre, Bombay Hospital and Medical Research Centre, Mumbai, IndiaObjective To evaluate the technical feasibility and assess the clinical outcomes of tubular decompression (TD) in cases of multilevel lumbar canal stenosis operated through a single incision. TD has established itself in the surgical management of single level lumbar stenosis. Literature on performance of TD for multilevel stenosis through a single incision are non-existent. Methods All patients undergoing TD for multilevel lumbar stenosis through a single incision from January 2007 to January 2018 were included. Patient demographics, operative and peri-operative details were documented. Patient based clinical outcomes, namely Visual Analogue Scale (VAS) scale for back and leg pain and Oswestry Disability Index (ODI) were assessed. Results Favorable tube trajectory and adequate decompression could be achieved through a single incision to decompress multiple levels. The VAS improved from mean 3±1.5 (2–5) to 2±0.8 (1–4) and 7±1.4 (4–9) to 2±1 (1–5) for back and leg pain respectively; while the ODI improved from a mean 44.6±8.6 (32–68) to 20.2±5.3 (16–42) at 3 months post-op and was maintained at 1±0.8 (1–4), 1.6±0.67 (1–3) and 19±2.9 (16–26) respectively at 2 years follow-up. Conclusion TD for multilevel stenosis done through a single incision is a feasible option with good to excellent results.http://www.jmisst.org/upload/pdf/jmisst-2022-00416.pdfmulti-level lumbar spinal stenosismicro-lumbar decompressionlumbar canal stenosisneurogenic claudicationtubular decompressionmicro-endoscopic decompression |
| spellingShingle | Arvind Gopalrao Kulkarni Ashwin kumar V Khandge Thonangi Yeshwanth Single Incision Tubular Decompression to Treat Multi-level Lumbar Spinal Stenosis: A Retrospective Review Journal of Minimally Invasive Spine Surgery and Technique multi-level lumbar spinal stenosis micro-lumbar decompression lumbar canal stenosis neurogenic claudication tubular decompression micro-endoscopic decompression |
| title | Single Incision Tubular Decompression to Treat Multi-level Lumbar Spinal Stenosis: A Retrospective Review |
| title_full | Single Incision Tubular Decompression to Treat Multi-level Lumbar Spinal Stenosis: A Retrospective Review |
| title_fullStr | Single Incision Tubular Decompression to Treat Multi-level Lumbar Spinal Stenosis: A Retrospective Review |
| title_full_unstemmed | Single Incision Tubular Decompression to Treat Multi-level Lumbar Spinal Stenosis: A Retrospective Review |
| title_short | Single Incision Tubular Decompression to Treat Multi-level Lumbar Spinal Stenosis: A Retrospective Review |
| title_sort | single incision tubular decompression to treat multi level lumbar spinal stenosis a retrospective review |
| topic | multi-level lumbar spinal stenosis micro-lumbar decompression lumbar canal stenosis neurogenic claudication tubular decompression micro-endoscopic decompression |
| url | http://www.jmisst.org/upload/pdf/jmisst-2022-00416.pdf |
| work_keys_str_mv | AT arvindgopalraokulkarni singleincisiontubulardecompressiontotreatmultilevellumbarspinalstenosisaretrospectivereview AT ashwinkumarvkhandge singleincisiontubulardecompressiontotreatmultilevellumbarspinalstenosisaretrospectivereview AT thonangiyeshwanth singleincisiontubulardecompressiontotreatmultilevellumbarspinalstenosisaretrospectivereview |