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Lumbar canal stenosis in “young” - How does it differ from that in “old” - An analysis of 116 surgically treated cases

OBJECTIVE: Patients treated for lumbar canal stenosis (LCS) were retrospectively analyzed to evaluate the differences in clinical management in those below (Group A) and those above (Group B) the age of 50 years. All patients were treated with the premise that instability is the nodal point of the p...

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Autores principales: Goel, Atul, Bhambere, Sagar, Shah, Abhidha, Dandpat, Saswat, Vutha, Ravikiran, Rai, Survendra Kumar Rajdeo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8214238/
https://www.ncbi.nlm.nih.gov/pubmed/34194157
http://dx.doi.org/10.4103/jcvjs.jcvjs_53_21
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author Goel, Atul
Bhambere, Sagar
Shah, Abhidha
Dandpat, Saswat
Vutha, Ravikiran
Rai, Survendra Kumar Rajdeo
author_facet Goel, Atul
Bhambere, Sagar
Shah, Abhidha
Dandpat, Saswat
Vutha, Ravikiran
Rai, Survendra Kumar Rajdeo
author_sort Goel, Atul
collection PubMed
description OBJECTIVE: Patients treated for lumbar canal stenosis (LCS) were retrospectively analyzed to evaluate the differences in clinical management in those below (Group A) and those above (Group B) the age of 50 years. All patients were treated with the premise that instability is the nodal point of the pathogenesis of LCS and “only-stabilization” is the surgical treatment. MATERIALS AND METHODS: During the period June 2014 to June 2020, 116 cases were diagnosed to have LCS and surgically treated by the Goel modification of Camille's transarticular screw fixation technique. RESULTS: Twenty-four patients in Group A and six patients in Group B had a history of “significant” injury to the back at the onset of clinical symptoms. The indices suggested that the intensity of symptoms was relatively more severe in Group A than in Group B. Unilateral leg symptoms were more common in Group A (68%) than in Group B (31.8%). Neurological motor deficits were more common in Group A (28%) than in Group B (12%) patients. Spinal segments surgically treated in Group A ranged from 1 to 4 (average 2 levels) and in Group B it ranged from 2 to 5 (average 3 levels). During the follow-up period that ranged from 6 to 72 months (average 37 months), 100% of patients had varying degrees of relief from symptoms. CONCLUSIONS: LCS is confined to a lesser number of spinal segments in the Group A patients. The symptoms were radicular in nature and relatively severe in Group A than in Group B patients.
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spelling pubmed-82142382021-06-29 Lumbar canal stenosis in “young” - How does it differ from that in “old” - An analysis of 116 surgically treated cases Goel, Atul Bhambere, Sagar Shah, Abhidha Dandpat, Saswat Vutha, Ravikiran Rai, Survendra Kumar Rajdeo J Craniovertebr Junction Spine Original Article OBJECTIVE: Patients treated for lumbar canal stenosis (LCS) were retrospectively analyzed to evaluate the differences in clinical management in those below (Group A) and those above (Group B) the age of 50 years. All patients were treated with the premise that instability is the nodal point of the pathogenesis of LCS and “only-stabilization” is the surgical treatment. MATERIALS AND METHODS: During the period June 2014 to June 2020, 116 cases were diagnosed to have LCS and surgically treated by the Goel modification of Camille's transarticular screw fixation technique. RESULTS: Twenty-four patients in Group A and six patients in Group B had a history of “significant” injury to the back at the onset of clinical symptoms. The indices suggested that the intensity of symptoms was relatively more severe in Group A than in Group B. Unilateral leg symptoms were more common in Group A (68%) than in Group B (31.8%). Neurological motor deficits were more common in Group A (28%) than in Group B (12%) patients. Spinal segments surgically treated in Group A ranged from 1 to 4 (average 2 levels) and in Group B it ranged from 2 to 5 (average 3 levels). During the follow-up period that ranged from 6 to 72 months (average 37 months), 100% of patients had varying degrees of relief from symptoms. CONCLUSIONS: LCS is confined to a lesser number of spinal segments in the Group A patients. The symptoms were radicular in nature and relatively severe in Group A than in Group B patients. Wolters Kluwer - Medknow 2021 2021-06-10 /pmc/articles/PMC8214238/ /pubmed/34194157 http://dx.doi.org/10.4103/jcvjs.jcvjs_53_21 Text en Copyright: © 2021 Journal of Craniovertebral Junction and Spine https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Goel, Atul
Bhambere, Sagar
Shah, Abhidha
Dandpat, Saswat
Vutha, Ravikiran
Rai, Survendra Kumar Rajdeo
Lumbar canal stenosis in “young” - How does it differ from that in “old” - An analysis of 116 surgically treated cases
title Lumbar canal stenosis in “young” - How does it differ from that in “old” - An analysis of 116 surgically treated cases
title_full Lumbar canal stenosis in “young” - How does it differ from that in “old” - An analysis of 116 surgically treated cases
title_fullStr Lumbar canal stenosis in “young” - How does it differ from that in “old” - An analysis of 116 surgically treated cases
title_full_unstemmed Lumbar canal stenosis in “young” - How does it differ from that in “old” - An analysis of 116 surgically treated cases
title_short Lumbar canal stenosis in “young” - How does it differ from that in “old” - An analysis of 116 surgically treated cases
title_sort lumbar canal stenosis in “young” - how does it differ from that in “old” - an analysis of 116 surgically treated cases
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8214238/
https://www.ncbi.nlm.nih.gov/pubmed/34194157
http://dx.doi.org/10.4103/jcvjs.jcvjs_53_21
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