Outcome of Decompression with Transpedicular Screw Fixation and posterolateral fusion in Stable Degenerative Lower Lumbar Canal Stenosis | ||
| Zagazig University Medical Journal | ||
| Article 1, Volume 30, Issue 2, March and April 2024, Pages 307-316 PDF (1 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2022.151612.2605 | ||
| Authors | ||
| Ashraf El Desouky zaghloul* 1; Ahmed Deabes2; Mohammed Ahmed Mourad3; Shawky A. Elmeleigy4 | ||
| 1Neurosurgery Department , Benha Faculty of Medicine, Benha University ,Egypt | ||
| 2Neurosurgery Department, Benha Faculty of Medicine, Benha University, Benha city, Egypt. | ||
| 3Neurosurgery,Faculty of medicine Banaha University- Banha | ||
| 4neurosurgery Department, Benha faculty of medicine, Benha university , Benha city , Egypt | ||
| Abstract | ||
| Abstract Background: Treatment of choice in degenerative lumbar canal stenosis (LCS) is laminectomy. Adding lumbar fusion to decompression is another option preferred by some surgeons to prevent possible instability after posterior elements removal Methods: A prospective study where we evaluated 64 patients with degenerative lower LCS in Benha University Hospitals from January 2017 to January 2020, those underwent decompression of lower two levels L4-5 and L5-S1 with instrumented fusion of L4,5and S1 with 2-years follow-up. Pain changes evaluated using VAS score at 1- and 2-years post-operative and functional outcome at 1- and 2-years post-operative using Oswestry Disability Index (ODI) compared to preoperative scores Results: Age of our patients ranged from 38 to 62 years with a mean 54.4 ±6.8 years and 42 patients were females (65.6%). VAS changes for low back pain and leg pain recorded at 1 and 2-years post-op. compared to preop. showed statistically significant improvement (P | ||
| Keywords | ||
| lumbar Canal stenosis; lumbar spine laminectomy; transpedicular screw fixation | ||
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