Unilateral Laminotomy with Bilateral Spinal Canal Decompression for Lumbar Stenosis: A Technical Note
نویسندگان
چکیده
Lumbar stenosis has become one of the most common spinal pathologies and one that results in neurogenic claudication, back and leg pain, and disability. The standard procedure is still an open laminectomy, which involves wide muscle retraction and extensive removal of the posterior spinal structures. This can lead to instability and the need for additional spinal fusion. We present a systemized and detailed approach to unilateral laminotomy for bilateral decompression, which we believe is superior to the standard open laminectomy in terms of intraoperative visualization, postoperative stability, and degree of invasiveness.
منابع مشابه
Micro Lumbar Decompression for Lumbar Spinal Stenosis
Spinal stenosis was described, for the first time, as one of the causes of neural compression by Bailey and Casamajor (1) in 1911. Later, in 1954, it was described by Verbiest (2) as the typical clinical presentation of bilateral neurogenic claudication, which is provoked by prolonged standing and lower back extension and relieved by sitting and flexing the lumbar spine. Degenerative lumbar spi...
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The aim of this retrospective study was to compare the short-term (4 weeks) surgical complications after unilateral laminotomy for bilateral decompression (ULBD) in patients with lumbar spinal stenosis, below and above age 65. Twenty-nine consecutive patients operated upon in 2011 were included: 12 below age 65, and 17 above age 65. Five complications (17.1%) were observed, all in the older age...
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BACKGROUND Laminectomy is the traditional operating method for the decompression of spinal canal stenosis. New partial decompression processes have been suggested in the treatment of lumbar stenosis. The benefit of a micro surgical approach is the chance of an extensive bilateral decompression of the spinal canal or foramen at one or numerous levels, through a minimal para-spinal muscular separ...
متن کاملOutcomes after minimally invasive lumbar decompression: a biomechanical comparison of unilateral and bilateral laminotomies
BACKGROUND The unilateral approach for bilateral decompression was developed as an alternative to laminectomy. Unilateral laminotomy has been rated technically considerably more demanding and associated with more perioperative complications than bilateral laminotomy. Several studies have indicated that bilateral laminotomy are associated with a substantial benefit in most outcome parameters and...
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عنوان ژورنال:
دوره 8 شماره
صفحات -
تاریخ انتشار 2016