Laminotomy is one of the surgical treatments for spinal stenosis.
Method
We conducted a prospective study including 58 patients with mean follow-up of 37.5 months, successful rate was 72%.
Result
There were significant improvement of mean Japanese Orthopaedic Association lumbar score, Oswestry Disability Index(ODI), and visual analogue scale (VAS). Male had significantly better result in ODI and VAS. There was no significant difference regarding to older age (>65) or the presence of preexisting degenerative spondylolisthesis. One patient was found to have increased lumbar instability after operation. The overall reoperation rate was 6.9%.
TurnerJA. Surgery for lumbar spinal stenosis. Attempted meta-analysis of the literature. Spine1992;17:1–8.
2.
JohnssonKE, UdenALF, RosenI.The effect of decompression on the natural course of spinal stenosis. A comparison of surgically treated and untreated patients. Spine1991;16:615–9.
3.
YoneK, SakouT, KawauchiY, Indication of fusion for lumbar spinal stenosis in elderly patients and its significance. Spine1996;21:242–8.
4.
IguchiT, KuriharaA, NakayamaJ, Minimum 10-year outcome of decompressive laminectomy for degenerative lumbar spinal stenosis. Spine2000;25:1754–9.
5.
NiggemeyerO, StraussJM, SchulitKP. Comparison of surgical procedures for degenerative lumbar spinal stenosis: a meta-analysis of the literature from 1975 to 1995. Euro Spine J1997;6: 423–9.
6.
AbumiK, PanjabiM, KramerKM. Biomechanical evaluation of lumbar spinal stability after graded facetectomies. Spine1990;15:1142–7.
7.
JollesBM, PorchetF, TheumannN.Surgical treatment of lumbar spinal stenosis: Five-year follow up. J Bone Joint Surg2001;83:949–53.
8.
GrobD, HumkeT, DvorakJ.Degenerative lumbar spinal stenosis. Decompression with and without arthrodesis. J Bone Joint Surg1995;77:1036–41.
