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Spinous Process Osteotomy to Facilitate the Access to the Spinal Canal When Decompressing the Spinal Canal in Patients with Lumbar Spinal Stenosis

STUDY DESIGN: Retrospective study. PURPOSE: The main purpose of this study was to investigate the union-rate of the spinous process after performing a spinous process osteotomy and whether union affects the clinical results after surgery. OVERVIEW OF LITERATURE: In the present study, spinous process...

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Autores principales: Hermansen, Erland, Moen, Gunnar, Fenstad, Anne Marie, Birketvedt, Rune, Indrekvam, Kari
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Spine Surgery 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3996336/
https://www.ncbi.nlm.nih.gov/pubmed/24761194
http://dx.doi.org/10.4184/asj.2014.8.2.138
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author Hermansen, Erland
Moen, Gunnar
Fenstad, Anne Marie
Birketvedt, Rune
Indrekvam, Kari
author_facet Hermansen, Erland
Moen, Gunnar
Fenstad, Anne Marie
Birketvedt, Rune
Indrekvam, Kari
author_sort Hermansen, Erland
collection PubMed
description STUDY DESIGN: Retrospective study. PURPOSE: The main purpose of this study was to investigate the union-rate of the spinous process after performing a spinous process osteotomy and whether union affects the clinical results after surgery. OVERVIEW OF LITERATURE: In the present study, spinous process osteotomy was used to facilitate access to the spinal canal when performing a decompressive procedure for lumbar spinal stenosis. The aim of this study was to evaluate the union rate of the spinous process and its effect on the clinical results of the procedure. METHODS: All patients were included in the study that underwent a decompressive procedure through spinous process osteotomy be between January 1, 2007 and December 31, 2007. Operation protocols were reviewed. A computed tomography (CT) scan was performed to evaluate the union of the osteotomies of the spinous process. According to the CT-scans, patients were divided into three groups: "complete-union," "partial-union," and "non-union." Patients reported their clinical results through a self-administered questionnaire. RESULTS: The mean period of follow up was 21.6 months (range, 16-28 months). A total of 44% of the performed osteotomies were considered as united. Ten patients (18%) were classified as "complete-union," 30 patients (55%) as "partial-union," and 15 patients (27%) as "non-union." The "complete-union" group showed better clinical results and scored significantly better in the Oswestry Disability Index and EQ-5D. However, no statistical difference was found in the pain-scores. There were no differences between the "partial-union" group and the "no-union" group. CONCLUSIONS: We found a radiologic union for 60 out of 135 (44%) spinous process osteotomies.
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spelling pubmed-39963362014-04-23 Spinous Process Osteotomy to Facilitate the Access to the Spinal Canal When Decompressing the Spinal Canal in Patients with Lumbar Spinal Stenosis Hermansen, Erland Moen, Gunnar Fenstad, Anne Marie Birketvedt, Rune Indrekvam, Kari Asian Spine J Clinical Study STUDY DESIGN: Retrospective study. PURPOSE: The main purpose of this study was to investigate the union-rate of the spinous process after performing a spinous process osteotomy and whether union affects the clinical results after surgery. OVERVIEW OF LITERATURE: In the present study, spinous process osteotomy was used to facilitate access to the spinal canal when performing a decompressive procedure for lumbar spinal stenosis. The aim of this study was to evaluate the union rate of the spinous process and its effect on the clinical results of the procedure. METHODS: All patients were included in the study that underwent a decompressive procedure through spinous process osteotomy be between January 1, 2007 and December 31, 2007. Operation protocols were reviewed. A computed tomography (CT) scan was performed to evaluate the union of the osteotomies of the spinous process. According to the CT-scans, patients were divided into three groups: "complete-union," "partial-union," and "non-union." Patients reported their clinical results through a self-administered questionnaire. RESULTS: The mean period of follow up was 21.6 months (range, 16-28 months). A total of 44% of the performed osteotomies were considered as united. Ten patients (18%) were classified as "complete-union," 30 patients (55%) as "partial-union," and 15 patients (27%) as "non-union." The "complete-union" group showed better clinical results and scored significantly better in the Oswestry Disability Index and EQ-5D. However, no statistical difference was found in the pain-scores. There were no differences between the "partial-union" group and the "no-union" group. CONCLUSIONS: We found a radiologic union for 60 out of 135 (44%) spinous process osteotomies. Korean Society of Spine Surgery 2014-04 2014-04-08 /pmc/articles/PMC3996336/ /pubmed/24761194 http://dx.doi.org/10.4184/asj.2014.8.2.138 Text en Copyright © 2014 by Korean Society of Spine Surgery http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Hermansen, Erland
Moen, Gunnar
Fenstad, Anne Marie
Birketvedt, Rune
Indrekvam, Kari
Spinous Process Osteotomy to Facilitate the Access to the Spinal Canal When Decompressing the Spinal Canal in Patients with Lumbar Spinal Stenosis
title Spinous Process Osteotomy to Facilitate the Access to the Spinal Canal When Decompressing the Spinal Canal in Patients with Lumbar Spinal Stenosis
title_full Spinous Process Osteotomy to Facilitate the Access to the Spinal Canal When Decompressing the Spinal Canal in Patients with Lumbar Spinal Stenosis
title_fullStr Spinous Process Osteotomy to Facilitate the Access to the Spinal Canal When Decompressing the Spinal Canal in Patients with Lumbar Spinal Stenosis
title_full_unstemmed Spinous Process Osteotomy to Facilitate the Access to the Spinal Canal When Decompressing the Spinal Canal in Patients with Lumbar Spinal Stenosis
title_short Spinous Process Osteotomy to Facilitate the Access to the Spinal Canal When Decompressing the Spinal Canal in Patients with Lumbar Spinal Stenosis
title_sort spinous process osteotomy to facilitate the access to the spinal canal when decompressing the spinal canal in patients with lumbar spinal stenosis
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3996336/
https://www.ncbi.nlm.nih.gov/pubmed/24761194
http://dx.doi.org/10.4184/asj.2014.8.2.138
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