UNILATERAL LAMINOTOMY FOR BILATERAL MICRODECOMPRESSION OF STENOSIS OF THE LUMBAR CANAL
With the aging of the world population, the treatment of stenosis of the lumbar canal has become an important issue in addressing degenerative diseases of the spine. The prevalence of this disease tends to increase as the number of surgeries and the impact on health care costs. This paper aims to de...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Coluna (SBC)
2015-09-01
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| Series: | Coluna/Columna |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512015000300236&lng=en&tlng=en |
| _version_ | 1818788627909443584 |
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| author | Guilherme Gontijo Soares |
| author_facet | Guilherme Gontijo Soares |
| author_sort | Guilherme Gontijo Soares |
| collection | DOAJ |
| description | With the aging of the world population, the treatment of stenosis of the lumbar canal has become an important issue in addressing degenerative diseases of the spine. The prevalence of this disease tends to increase as the number of surgeries and the impact on health care costs. This paper aims to describe in detail the technique of unilateral laminotomy for bilateral microdecompression (ULBM) of stenosis of the lumbar canal (LSC) and current clinical results, including their advantages, disadvantages and common complications, based on the available literature. Important studies have shown evidence that surgical treatment for LSC is more effective than the conservative, but without evaluating ULBM. Several studies on ULBM have been conducted since the 90s, showing the results of this technique, however, most of these are case series, retrospective studies or cohorts without proper control group or with weak statistical analysis to prove some evidence. A double-blind randomized clinical trial was found, but with short follow-up. We conclude that studies are needed with more solid evidence to prove the effectiveness of ULBM despite the clinical results being similar to those of classical surgery found in the literature. |
| first_indexed | 2024-12-18T14:26:41Z |
| format | Article |
| id | doaj.art-bb5ccf9bb6c9478795ddc166c2d5a522 |
| institution | Directory Open Access Journal |
| issn | 2177-014X |
| language | English |
| last_indexed | 2024-12-18T14:26:41Z |
| publishDate | 2015-09-01 |
| publisher | Sociedade Brasileira de Coluna (SBC) |
| record_format | Article |
| series | Coluna/Columna |
| spelling | doaj.art-bb5ccf9bb6c9478795ddc166c2d5a5222022-12-21T21:04:42ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X2015-09-0114323623910.1590/S1808-185120151403147834S1808-18512015000300236UNILATERAL LAMINOTOMY FOR BILATERAL MICRODECOMPRESSION OF STENOSIS OF THE LUMBAR CANALGuilherme Gontijo SoaresWith the aging of the world population, the treatment of stenosis of the lumbar canal has become an important issue in addressing degenerative diseases of the spine. The prevalence of this disease tends to increase as the number of surgeries and the impact on health care costs. This paper aims to describe in detail the technique of unilateral laminotomy for bilateral microdecompression (ULBM) of stenosis of the lumbar canal (LSC) and current clinical results, including their advantages, disadvantages and common complications, based on the available literature. Important studies have shown evidence that surgical treatment for LSC is more effective than the conservative, but without evaluating ULBM. Several studies on ULBM have been conducted since the 90s, showing the results of this technique, however, most of these are case series, retrospective studies or cohorts without proper control group or with weak statistical analysis to prove some evidence. A double-blind randomized clinical trial was found, but with short follow-up. We conclude that studies are needed with more solid evidence to prove the effectiveness of ULBM despite the clinical results being similar to those of classical surgery found in the literature.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512015000300236&lng=en&tlng=enEstenosis espinalAnálisis costo-beneficioMicrocirugíaCirugíaAnatomía |
| spellingShingle | Guilherme Gontijo Soares UNILATERAL LAMINOTOMY FOR BILATERAL MICRODECOMPRESSION OF STENOSIS OF THE LUMBAR CANAL Coluna/Columna Estenosis espinal Análisis costo-beneficio Microcirugía Cirugía Anatomía |
| title | UNILATERAL LAMINOTOMY FOR BILATERAL MICRODECOMPRESSION OF STENOSIS OF THE LUMBAR CANAL |
| title_full | UNILATERAL LAMINOTOMY FOR BILATERAL MICRODECOMPRESSION OF STENOSIS OF THE LUMBAR CANAL |
| title_fullStr | UNILATERAL LAMINOTOMY FOR BILATERAL MICRODECOMPRESSION OF STENOSIS OF THE LUMBAR CANAL |
| title_full_unstemmed | UNILATERAL LAMINOTOMY FOR BILATERAL MICRODECOMPRESSION OF STENOSIS OF THE LUMBAR CANAL |
| title_short | UNILATERAL LAMINOTOMY FOR BILATERAL MICRODECOMPRESSION OF STENOSIS OF THE LUMBAR CANAL |
| title_sort | unilateral laminotomy for bilateral microdecompression of stenosis of the lumbar canal |
| topic | Estenosis espinal Análisis costo-beneficio Microcirugía Cirugía Anatomía |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512015000300236&lng=en&tlng=en |
| work_keys_str_mv | AT guilhermegontijosoares unilaterallaminotomyforbilateralmicrodecompressionofstenosisofthelumbarcanal |