UNILATERAL APPROACH FOR BILATERAL SPINAL MICRODECOMPRESSION IN LUMBAR SPINAL STENOSIS: SHORT TERM RESULTS

Amaç: Lomber spinal dar kanal hastalığı 50 yaş üstünde sırt e bacak ağrısının en çok görülen sebeplerinden biridir. Dar kanal konjenital lezyonlar sonucu oluşabileceği gibi dejeneratif sebeplerle de oluşabilmektedir. Dejeneratif spinal dar kanal a yol açan sebepler intervertebral diskin taşması, faset eklem hipertrofisi, ligamentum flavum hipertrofisi ve spondilolistezis olarak sayılabilir.Materyal ve Metod: 28 hastayı retrospektif olarak inceledik. Tüm hastalarda sırt veya bacak ağrısının yanında nörojenik kladikasyo bulunmaktaydı. Hastalar 0 dan 10 a kadar olan 0 ağrısız ve 10 en çok ağrı olmak üzere numaralandırılmış ağrı skorlaması ile değerlendirildi. Cerrahi uygulanan seviyelerde unilateral yaklaşım ile bilateral mikrodekompresyon uygulandı.Sonuçlar: Hasta takiplerinin 1. ayın sonunda tüm hastaların nörojenik kladikasyosu iyileşmişti. Ağrı azalma oranı %86 olarak bulundu. Literatürdeki çoğu çalışmayı destekler sonuçlar elde edilmiştir.Çıkarım: Unilateral yaklaşım ile bilateral mikrodekompresyon ile tedavinin dikkat çekici noktası minimal invaziv yaklaşım ile tatmin edici dekompresyon elde edilmesidir.

LOMBER DAR KANAL HASTALARINDA UNILATERAL YAKLAŞIM ILE BILATERAL MIKRODEKOMPRESYON: KISA DÖNEM SONUÇLARI

Objective: Lumbar spinal stenosis is a frequent cause of back and leg pain in patients over 50. Stenosis can be caused by congenital lesions or degenerative changes. Degenerative spinal stenosis may be due to intervertebral disk bulging, joint facet hypertrophy, thickening of the ligamentum flavum and spondylolisthesis.Materials and Method: We observed 28 patients retrospectively. All patients have back and/or leg pain with neurogenic claudication. The patients were scored by numerical pain scale with zero to ten that zero is no pain and ten is the worst. During the surgeries all stenosis levels treated by unilateral approach with bilateral microdecompression.Results: At the end of 1 month follow up, all of the patients got rid of the neurogenic claudication. The pain release rate was 86%.Many literature analysis results are similar when inspected.Conclusions: The main point of the unilateral approach bilateral microdecompression for treating lumbar spinal stenosis is minimal invasive surgery with satisfactory decompression.

Kaynakça

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