ABSTRACT
Removal of the posterior elements in decompressive laminectomy for lumbar canal stenosis carries the risk of instability that complicates surgery by inviting fusion. In this study, 16 cases with degenerative lumbar canal stenosis were operated upon using multiple fenestrations to decompress the canal at many levels with removal of lizamentum flavum and interspinous ligament only. This technique gave promising satisfactory results that exceeds results of classical laminectomy and needed no fusion. The good and excellent results reached 81.25% with an average follow up of 21 months. This minimal surgery was suitable for Egyptian patients at this age group as it suits their basic needs. This promising result still needs further studies in bigger groups of patients where classification into uniform groups regarding the pathology and clinical picture is advised for better assessment
Subject(s)
Humans , Male , Female , Lumbar Vertebrae/surgery , Decompression, Surgical , Spinal Canal/surgery , Follow-Up StudiesABSTRACT
This study was done on 11 patients [7 males and 4 females] with age ranged between 33 and 42 years. The follow up period ranged between 30 to 51 months. The results revealed that 5 patients had excellent results, 3 patients had good results and 3 patients had poor results according to limited goals scoring system. Significant pain relief was achieved in 7 patients