Microscopic Unilateral Approach for Bilateral Decompression of Lumbar Spinal Stenosis

Basit Öğe Kaydı
dc.authoridkaptan, hulagu/0000-0002-6539-1204
dc.contributor.authorKaptan, Hulagu
dc.contributor.authorKasimcan, Omur
dc.contributor.authorOzyoruk, Safak
dc.contributor.authorYilmaz, Murat
dc.date.accessioned2024-05-19T14:39:23Z
dc.date.available2024-05-19T14:39:23Z
dc.date.issued2022
dc.departmentİstinye Üniversitesien_US
dc.description.abstractBackground: This is a study based on single-surgeon data on spinal stenosis surgery via microscopic approach. The aim is to evaluate the effectiveness of the unilateral approach to bilateral decompression and the usage of Taylor retractors and brain spatula in patients with spinal stenosis.Methods: This is a retrospective study on bilateral decompression for lumbar spinal stenosis using a microscopic unilateral approach by a single surgeon, between April 2015 and March 2018. In total, 50 patients were operated due to single level lumbar spinal stenosis. All patients were evaluated by preoperative and postoperative plain radiographs and magnetic resonance (MR) images. Walking distance (WD), visual analog scale (VAS) for pain and Odom's criteria were evaluated for follow-up.Results: One level of the lumbar spine was surgically decompressed in all patients. The median age of patients was 64.6 (51- 82). Of the patients, 72% (36) were women, and 28% (14) were men. Most patients had refractory low back pain (96%) after conservative treatment. The stenotic levels of the cases were as follows: L3-4, 23(46%); L4-5, 24(48%); and L5-S1, 3 (6%). VAS scores decreased in all patients after surgery. According to Odom's criteria, an excellent or good score was found in 43 patients at the 12th follow-up examination. WDs increased up to 1000 meters for 41 patients.Conclusion: The microscopic unilateral approach to bilateral decompression is an effective method for decompression in spinal stenosis. Via this approach, surgical trauma is reduced and surgically induced instability is avoided as much as possible.en_US
dc.identifier.doi10.34172/aim.2022.117
dc.identifier.endpage747en_US
dc.identifier.issn1029-2977
dc.identifier.issn1735-3947
dc.identifier.issue11en_US
dc.identifier.pmid37543899en_US
dc.identifier.scopus2-s2.0-85158146128en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage742en_US
dc.identifier.urihttps://doi.org10.34172/aim.2022.117
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4769
dc.identifier.volume25en_US
dc.identifier.wosWOS:000937475600005en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherAcad Medical Sciences I R Iranen_US
dc.relation.ispartofArchives of Iranian Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240519_kaen_US
dc.subjectBilateral Decompressionen_US
dc.subjectLumbar Spinal Stenosisen_US
dc.subjectMicroscopeen_US
dc.subjectUnilateral Approachen_US
dc.titleMicroscopic Unilateral Approach for Bilateral Decompression of Lumbar Spinal Stenosisen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu