scholarly journals Comparative study of minimally invasive lumbar decompression versus decompressive laminectomy with posterolateral transpedicular fixation for the treatment of degenerative lumbar canal stenosis

2020 ◽  
Vol 15 (2) ◽  
pp. 293
Author(s):  
AhmedReda Aldahshory ◽  
Hazem Mashaly ◽  
ShafikTahseen El Molla ◽  
IbrahimAbdelmohsen Ismaiel ◽  
Khaled Saoud
2010 ◽  
Vol 1;13 (1;1) ◽  
pp. 35-41
Author(s):  
Timothy R. Deer

Background and Objectives: Lumbar canal stenosis is a common source of chronic low back and leg pain. Minimally Invasive Lumbar Decompression (mild®) is a new minimally invasive treatment for pain relief from symptomatic central lumbar canal stenosis. The procedure involves limited percutaneous laminotomy and thinning of the ligamentum flavum in order to increase the critical diameter of the stenosed spinal canal. The objective of this technical report is to evaluate the acute safety of the mild procedure. Methods: Manual and electronic chart survey was conducted by 14 treating physicians located in 9 U.S. states on 90 consecutive patients who underwent the mild procedure. Patients within local geographical practice areas were selected in keeping with product Instructions For Use. Those patients requiring lumbar decompression via tissue resection at the perilaminar space, within the interlaminar space and at the ventral aspect of the lamina were treated. Data collected included any complications and/or adverse events occurring during or immediately following the procedure prior to discharge. Results: Of 90 procedures reviewed, there were no major adverse events or complications related to the devices or procedure. No incidents of dural puncture or tear, blood transfusion, nerve injury, epidural bleeding, or hematoma were observed. Limitations: Data were not specifically collected; however, regardless of difficulty, in this series none of the procedures were aborted and none resulted in adverse events. Efficacy parameters were not collected in this safety survey. Conclusions: This review demonstrates the acute safety of the mild procedure with no report of significant or unusual patient complications. To establish complication frequency and longer-term safety profile associated with the treatment, additional studies are currently being conducted. Survey data on file at Vertos Medical, Inc. Key words: Spine, decompression, fluoroscopy, mild, stenosis, ligamentum


Spine ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Sunao Tanaka ◽  
Kanichiro Wada ◽  
Gentaro Kumagai ◽  
Toru Asari ◽  
Shuichi Aburakawa ◽  
...  

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
James R. Onggo ◽  
Mithun Nambiar ◽  
Julian T. Maingard ◽  
Kevin Phan ◽  
Stefano Marcia ◽  
...  

1995 ◽  
Vol 9 (0) ◽  
pp. 79-86
Author(s):  
Kiyoshi Hidaka ◽  
Young Hwan Koh ◽  
Hiromichi Hosoda

Author(s):  
Ankur D. Kariya ◽  
Pramod A. Jain ◽  
Kisan R. Patond

Background: Lumbar canal stenosis is a painful and potentially disabling condition often encountered in adults. Treatment of lumbar canal stenosis may consist of conservative approach to lumbar canal stenosis consists of rest, lumbar bracing, activity modification and analgesics. Surgical management consists of decompressive laminectomy, laminotomy or facetectomy. In the present study, authors evaluate the outcome in patients of lumbar canal stenosis managed surgically with decompressive laminectomy.Methods: A 50 patients with degenerative lumbar canal stenosis visiting Kasturbha hospital, Sewagram, Wardha from November 2016 to April 2017 were taken up for the study. Patients were taken up for laminectomy and decompression of the affected nerve roots using medial facetectomy. Post operatively patients were regularly followed up at monthly intervals. The ODI score was calculated at the end of 6 months and compared with the baseline score.Results: Fifty patients (mean age-42.9 years) underwent laminectomy and decompression. Baselines ODI score was 71.2±6.4. After 6 month follow up, the score improved significantly to 21±15.6 which was statistically significant.Conclusions: Operative treatment in patients of degenerative lumbar canal stenosis yields excellent functional results as observed based on the ODI score provided case selection is done properly.


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