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08.06.2016 | Original Article

Unilateral tubular approach for bilateral laminotomy: effect on ipsilateral and contralateral buttock and leg pain

verfasst von: Marjan Alimi, Christoph P. Hofstetter, Jose M. Torres-Campa, Rodrigo Navarro-Ramirez, Guang-Ting Cong, Innocent Njoku Jr., Roger Härtl

Erschienen in: European Spine Journal | Ausgabe 2/2017

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Abstract

Purpose

Tubular laminotomy is an effective procedure for treatment of lumbar spinal stenosis (LSS) and lateral recesses stenosis. Most surgeons familiar with the procedure agree that the tubular approach appears to afford a more complete decompression of the contralateral thecal sac and nerve root, as compared to the ipsilateral approach. With this study we sought to answer the question whether this is reflected in clinically significant differences between the ipsilateral and contralateral side pain improvements.

Methods

In a retrospective case study, patients with LSS and lateral recesses stenosis who started out with VAS scores that were similar on the right and left side were included. All patients underwent a tubular (MIS) “over the top” laminotomy from a unilateral approach and through one incision. Surgeries were performed by a single surgeon in a single center. At the last follow-up, the extent of VAS score improvement on the approach (ipsilateral) side was compared to that of the contralateral side.

Results

Thirty-three patients were included in. At the latest follow-up of 25.8 ± 3.4 months, there were statistically significant improvements in ODI and back VAS scores (p = 0.002 and p < 0.0001, respectively). In addition, buttock VAS scores were significantly improved both on the ipsilateral and the contralateral side (p < 0.001, and p = 0.001, respectively). Similarly, leg VAS scores were improved significantly on both sides (p < 0.001, and p = 0.001, respectively). There were no statistically significant differences between the extent of pain improvement on the ipsilateral and the contralateral side.

Conclusions

MIS tubular laminotomy through a unilateral approach results in clinically effective bilateral decompression of LSS and lateral recesses, regardless of the approach side.

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Titel: Unilateral tubular approach for bilateral laminotomy: effect on ipsilateral and contralateral buttock and leg pain
verfasst von: Marjan Alimi
Christoph P. Hofstetter
Jose M. Torres-Campa
Rodrigo Navarro-Ramirez
Guang-Ting Cong
Innocent Njoku Jr.
Roger Härtl
Publikationsdatum: 08.06.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe 2/2017
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-016-4594-1

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Springer Medizin

Unilateral tubular approach for bilateral laminotomy: effect on ipsilateral and contralateral buttock and leg pain

Abstract

Purpose

Methods

Results

Conclusions

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Neu im Fachgebiet Orthopädie und Unfallchirurgie

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Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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