Cargando…
A comparison of outcomes between L3/L4 and L4/ L5 single-level laminectomy surgery
BACKGROUND: Decompressive laminectomy is the most common operation performed to treat spinal stenosis. This study was performed in order to evaluate surgical outcomes between laminectomy at the L3/L4 level compared with L4/ L5. METHODS: The patients diagnosed with one level stenosis at L3/L4 or L4/...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kermanshah University of Medical Sciences
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3571590/ |
_version_ | 1782259186270208000 |
---|---|
author | Azimi, Parisa Mohammadi, Hasan Reza |
author_facet | Azimi, Parisa Mohammadi, Hasan Reza |
author_sort | Azimi, Parisa |
collection | PubMed |
description | BACKGROUND: Decompressive laminectomy is the most common operation performed to treat spinal stenosis. This study was performed in order to evaluate surgical outcomes between laminectomy at the L3/L4 level compared with L4/ L5. METHODS: The patients diagnosed with one level stenosis at L3/L4 or L4/ L5 who were candidate for surgery entered into this cross-sectional study. The outcome measures were the Neurogenic Claudication Outcome Score (NCOS), the Japanese Orthopaedic Association (JOA) Score, subjective walking distance, and Visual Analog Score (VAS) of leg pain/numbness. T-test tests were used to analyze the comparisons of outcomes between the L3/L4 and L4/ L5 single-level laminectomy. RESULTS: Ninety-four patients were eligible to enter the study during the four- year courses of study. Patients were aged 39 to 79 years (mean age 63.7 ± 9.83 years) and were followed up for at least one year. Thirty-one L3/4 and 63 L4/L5 laminectomies were performed. No significant difference was observed in the clinical indications, JOA, NCOS, duration of symptoms or VAS of leg pain/numbness between the two groups. The difference between pre and postoperative was statistically significant (P less than 0.0001). CONCLUSIONS: The findings of this study suggest that no statistically significant difference exists between L3/L4 and L4/ L5 laminectomies in terms of preoperative and postoperative outcomes. KEYWORDS: Spinal stenosis, Laminectomy, Single-level, Outcome measures |
format | Online Article Text |
id | pubmed-3571590 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Kermanshah University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-35715902013-03-19 A comparison of outcomes between L3/L4 and L4/ L5 single-level laminectomy surgery Azimi, Parisa Mohammadi, Hasan Reza J Inj Violence Res Poster Presentation BACKGROUND: Decompressive laminectomy is the most common operation performed to treat spinal stenosis. This study was performed in order to evaluate surgical outcomes between laminectomy at the L3/L4 level compared with L4/ L5. METHODS: The patients diagnosed with one level stenosis at L3/L4 or L4/ L5 who were candidate for surgery entered into this cross-sectional study. The outcome measures were the Neurogenic Claudication Outcome Score (NCOS), the Japanese Orthopaedic Association (JOA) Score, subjective walking distance, and Visual Analog Score (VAS) of leg pain/numbness. T-test tests were used to analyze the comparisons of outcomes between the L3/L4 and L4/ L5 single-level laminectomy. RESULTS: Ninety-four patients were eligible to enter the study during the four- year courses of study. Patients were aged 39 to 79 years (mean age 63.7 ± 9.83 years) and were followed up for at least one year. Thirty-one L3/4 and 63 L4/L5 laminectomies were performed. No significant difference was observed in the clinical indications, JOA, NCOS, duration of symptoms or VAS of leg pain/numbness between the two groups. The difference between pre and postoperative was statistically significant (P less than 0.0001). CONCLUSIONS: The findings of this study suggest that no statistically significant difference exists between L3/L4 and L4/ L5 laminectomies in terms of preoperative and postoperative outcomes. KEYWORDS: Spinal stenosis, Laminectomy, Single-level, Outcome measures Kermanshah University of Medical Sciences 2012-11 /pmc/articles/PMC3571590/ Text en Copyright © 2012, KUMS http://creativecommons.org/licenses/by/3/ This is an open-access article distributed under the terms of the Creative Commons Attribution 3.0 License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Poster Presentation Azimi, Parisa Mohammadi, Hasan Reza A comparison of outcomes between L3/L4 and L4/ L5 single-level laminectomy surgery |
title | A comparison of outcomes between L3/L4 and L4/ L5 single-level laminectomy surgery |
title_full | A comparison of outcomes between L3/L4 and L4/ L5 single-level laminectomy surgery |
title_fullStr | A comparison of outcomes between L3/L4 and L4/ L5 single-level laminectomy surgery |
title_full_unstemmed | A comparison of outcomes between L3/L4 and L4/ L5 single-level laminectomy surgery |
title_short | A comparison of outcomes between L3/L4 and L4/ L5 single-level laminectomy surgery |
title_sort | comparison of outcomes between l3/l4 and l4/ l5 single-level laminectomy surgery |
topic | Poster Presentation |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3571590/ |
work_keys_str_mv | AT azimiparisa acomparisonofoutcomesbetweenl3l4andl4l5singlelevellaminectomysurgery AT mohammadihasanreza acomparisonofoutcomesbetweenl3l4andl4l5singlelevellaminectomysurgery AT azimiparisa comparisonofoutcomesbetweenl3l4andl4l5singlelevellaminectomysurgery AT mohammadihasanreza comparisonofoutcomesbetweenl3l4andl4l5singlelevellaminectomysurgery |