Stable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal Stenosis
<i>Background and Objectives:</i> In recent literature, the routine addition of arthrodesis to decompression for lumbar spinal stenosis (LSS) with concomitant stable low-grade degenerative spondylolisthesis remains controversial. The purpose of this study is to compare the clinical outco...
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MDPI AG
2021-11-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/57/11/1270 |
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| author | Morsi Khashan Khalil Salame Dror Ofir Zvi Lidar Gilad J. Regev |
| author_facet | Morsi Khashan Khalil Salame Dror Ofir Zvi Lidar Gilad J. Regev |
| author_sort | Morsi Khashan |
| collection | DOAJ |
| description | <i>Background and Objectives:</i> In recent literature, the routine addition of arthrodesis to decompression for lumbar spinal stenosis (LSS) with concomitant stable low-grade degenerative spondylolisthesis remains controversial. The purpose of this study is to compare the clinical outcome, complication and re-operation rates following minimally invasive (MIS) tubular decompression without arthrodesis in patients suffering from LSS with or without concomitant stable low-grade degenerative spondylolisthesis. <i>Materials and Methods:</i> This study is a retrospective review of prospectively collected data. Ninety-six consecutive patients who underwent elective MIS lumbar decompression with a mean follow-up of 27.5 months were included in the study. The spondylolisthesis (S) group comprised 53 patients who suffered from LSS with stable degenerative spondylolisthesis, and the control (N) group included 43 patients suffering from LSS without spondylolisthesis. Outcome measures included complications and revision surgery rates. Pre- and post-operative visual analog scale (VAS) for both back and leg pain was analyzed, and the Oswestry Disability Index (ODI) was used to evaluate functional outcome. <i>Results:</i> The two groups were comparable in most demographic and preoperative variables. VAS for back and leg pain improved significantly following surgery in both groups. Both groups showed significant improvement in their ODI scores, at one and two years postoperatively. The average length of hospital stay was significantly higher in patients with spondylolisthesis (<i>p</i>-value< 0.01). There was no significant difference between the groups in terms of post-operative complications rates or re-operation rates. <i>Conclusions:</i> Our results indicate that MIS tubular decompression may be an effective and safe procedure for patients suffering from LSS, with or without degenerative stable spondylolisthesis. |
| first_indexed | 2024-03-10T05:18:20Z |
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| last_indexed | 2024-03-10T05:18:20Z |
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| series | Medicina |
| spelling | doaj.art-f5af844695ea4f9694b7d1b3ea4e602c2023-11-23T00:18:18ZengMDPI AGMedicina1010-660X1648-91442021-11-015711127010.3390/medicina57111270Stable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal StenosisMorsi Khashan0Khalil Salame1Dror Ofir2Zvi Lidar3Gilad J. Regev4The Department of Neurosurgery, Tel-Aviv Sourasky Medical Center, Tel-Aviv 6423906, IsraelThe Department of Neurosurgery, Tel-Aviv Sourasky Medical Center, Tel-Aviv 6423906, IsraelThe Department of Neurosurgery, Tel-Aviv Sourasky Medical Center, Tel-Aviv 6423906, IsraelThe Department of Neurosurgery, Tel-Aviv Sourasky Medical Center, Tel-Aviv 6423906, IsraelThe Department of Neurosurgery, Tel-Aviv Sourasky Medical Center, Tel-Aviv 6423906, Israel<i>Background and Objectives:</i> In recent literature, the routine addition of arthrodesis to decompression for lumbar spinal stenosis (LSS) with concomitant stable low-grade degenerative spondylolisthesis remains controversial. The purpose of this study is to compare the clinical outcome, complication and re-operation rates following minimally invasive (MIS) tubular decompression without arthrodesis in patients suffering from LSS with or without concomitant stable low-grade degenerative spondylolisthesis. <i>Materials and Methods:</i> This study is a retrospective review of prospectively collected data. Ninety-six consecutive patients who underwent elective MIS lumbar decompression with a mean follow-up of 27.5 months were included in the study. The spondylolisthesis (S) group comprised 53 patients who suffered from LSS with stable degenerative spondylolisthesis, and the control (N) group included 43 patients suffering from LSS without spondylolisthesis. Outcome measures included complications and revision surgery rates. Pre- and post-operative visual analog scale (VAS) for both back and leg pain was analyzed, and the Oswestry Disability Index (ODI) was used to evaluate functional outcome. <i>Results:</i> The two groups were comparable in most demographic and preoperative variables. VAS for back and leg pain improved significantly following surgery in both groups. Both groups showed significant improvement in their ODI scores, at one and two years postoperatively. The average length of hospital stay was significantly higher in patients with spondylolisthesis (<i>p</i>-value< 0.01). There was no significant difference between the groups in terms of post-operative complications rates or re-operation rates. <i>Conclusions:</i> Our results indicate that MIS tubular decompression may be an effective and safe procedure for patients suffering from LSS, with or without degenerative stable spondylolisthesis.https://www.mdpi.com/1648-9144/57/11/1270decompressionminimally invasivespinal stenosisspondylolisthesis |
| spellingShingle | Morsi Khashan Khalil Salame Dror Ofir Zvi Lidar Gilad J. Regev Stable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal Stenosis Medicina decompression minimally invasive spinal stenosis spondylolisthesis |
| title | Stable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal Stenosis |
| title_full | Stable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal Stenosis |
| title_fullStr | Stable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal Stenosis |
| title_full_unstemmed | Stable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal Stenosis |
| title_short | Stable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal Stenosis |
| title_sort | stable low grade degenerative spondylolisthesis does not compromise clinical outcome of minimally invasive tubular decompression in patients with spinal stenosis |
| topic | decompression minimally invasive spinal stenosis spondylolisthesis |
| url | https://www.mdpi.com/1648-9144/57/11/1270 |
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