The effects of microdecompression on quality of life in patients who have lumbar degenerative spinal stenosis with or without degenerative spondylolisthesis

Abstract

ligamentum flavum hypertrophy and central degenerative disc herniation. This is a clinical and radiological condition seen in more than 65% of females and 80% of males, with incidence directly related to age. In addition, degenerative spondylolisthesis, basically a facet joint lesion, develops as a consequence of degeneration of the lumbar vertebrae, resulting in hypertrophy and segmental instability in the facet joints. With age, the inferior and superior articular processes of the AIM: To investigate the mid-term efficacy of bilateral decompression with a unilateral approach (BDUA) on symptoms and quality of life of in patients with lumbar spinal stenosis (LSS), with low grade (with percentage slip <25%) degenerative spondylolisthesis or without spondylolisthesis. MATERIAL and METHODS:The study included patients who underwent BDUA due to one or two-level LSS related to degenerative spondylosis and/ or degenerative spondylolisthesis. Pre-and postoperative data of the Oswestry Disability Index (ODI), Visual Analogue Scale (VAS), and walking distance were compared. RESULTS:Evaluation was made up of a total of 53 patients, comprising 32 males and 21 females with a mean age of 60.6 ± 9.0 years. Compared with the preoperative data, VAS, ODI and walking distance improved significantly in all patients at the 3-year follow-up examination. Furthermore, a significant improvement was determined in the clinical parameters of patients with degenerative spondylolisthesis, with no worsening of slip and no requirement for instrumentation. Moreover, when patients were separated into two groups according to age, as elderly (>60 years) and adult (<60 years), similar improvements were seen in both groups.CONCLUSION: BDUA could be quite effective in reducing pain, improving quality of life and walking distance with no worsening of the grade or degree of slipping.

Unilateral Approach Bilateral Microdecompression for Degenerative Lumbar Spinal Stenosis

“…Furthermore, vertebra fusion surgery with polyaxial screws is necessary when the patient presents with severe spondylolisthesis. [9] Ogden et al, [10] conducted a study on 53 patients and discovered that unilateral approach bilateral microdecompression is highly effective in reducing pain, improving WD, and reducing disability. They observed a significant improvement in the clinical parameters of patients with degenerative spondylolisthesis without worsening the slip.…”

Radiologic Efficacy and Patient Satisfaction after Minimally Invasive Unilateral Laminotomy and Bilateral Decompression in Patients with Lumbar Spinal Stenosis: A Retrospective Analysis

“…All surgical procedures involved minimally invasive techniques designed to preserve the spinous process, as described by Ogden et al 9 Briefly, the operative level was assessed via fluoroscopy, and a 3-cm midline skin incision was made at the level of stenosis. The fascia and paraspinal muscles were then dissected using a monopolar coagulator.…”

“…2,7,8 Unilateral laminotomy and bilateral decompression (ULBD), a microscopic MISS technique, is advantageous in that it preserves the spinous process, midline ligaments, and contralateral facet. 9,10 However, radiologic parameters for assessing the efficacy of ULBD for LSS remain to be elucidated. In addition, no previous studies have quantified changes in clinical symptoms or patient satisfaction following such procedures.…”