Unilateral laminectomy for bilateral decompression of lumbar spinal stenosis: A prospective comparative study with conservatively treated patients

Journal of Spinal Disorders and Techniques

Volumn 15, Issue 1, 2002, Pages 39-46

  Mariconda, Massimo ^a   Roberto, Fava ^b   Gatto, Alan ^b   Longo, Chiara ^b   Milano, Carlo ^a  

^a UNIVERSITY OF NAPLES FEDERICO II   (Italy)

^b UNIVERSITY MAGNA GRAECIA OF CATANZARO   (Italy)

Author keywords

Laminectomy; Lumbar spinal stenosis; Outcome

Indexed keywords

ADULT; ARTICLE; CLINICAL ARTICLE; COMPARATIVE STUDY; CONSERVATIVE TREATMENT; CONTROLLED STUDY; HUMAN; LAMINECTOMY; LEG PAIN; LUMBAR SPINE; PRIORITY JOURNAL; PROSPECTIVE STUDY; SPINAL CORD DECOMPRESSION; TREATMENT OUTCOME; VERTEBRAL CANAL STENOSIS; AGED; DECOMPRESSION SURGERY; DISEASE COURSE; FEMALE; FOLLOW UP; FUNCTIONAL ASSESSMENT; HEALTH STATUS; INTERMETHOD COMPARISON; MALE; SPINE INSTABILITY; SPONDYLOLISTHESIS; SURGICAL TECHNIQUE;

ADULT; AGED; ANALYSIS OF VARIANCE; DECOMPRESSION, SURGICAL; FEMALE; FOLLOW-UP STUDIES; HUMANS; LAMINECTOMY; LINEAR MODELS; LUMBAR VERTEBRAE; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; SPINAL STENOSIS;

EID: 0036171340     PISSN: 15360652     EISSN: 15392465     Source Type: Journal    
DOI: 10.1097/00024720-200202000-00006     Document Type: Article

References (92)

1. Johnsson KE, Redlund-Johnell I, Uden A, et al. Preoperative and postoperative instability in lumbar spinal stenosis. Spine 1989; 14:591-3.
2. Johnsson KE, Redlund-Johnell I, Uden A, et al. Preoperative and postoperative instability in lumbar spinal stenosis. Spine 1989; 14:591
3. Sano S, Yokokura S, Nagata Y, et al. Unstable lumbar spine without hypermobility in postlaminectomy cases. Mechanisms of symptoms and effect of spinal fusion with and without spinal instrumentation. Spine 1990; 15:1190-7.
4. Sano S, Yokokura S, Nagata Y, et al. Unstable lumbar spine without hypermobility in postlaminectomy cases. Mechanisms of symptoms and effect of spinal fusion with and without spinal instrumentation. Spine 1990; 15:1190
5. Sihvonen T, Herno A, Paljarvi L, et al. Local denervation atrophy of paraspinal muscles in postoperative failed back syndrome. Spine 1993; 18:575-81.
6. Sihvonen T, Herno A, Paljarvi L, et al. Local denervation atrophy of paraspinal muscles in postoperative failed back syndrome. Spine 1993; 18:575
7. Gui L, Davidovits P, Merlini L, et al. Cervical myelopathy. Technique and results of spinal cord decompression by lateral laminectomy. Ital J Orthop Traumatol 1983; 9:129-38.
8. Gui L, Davidovits P, Merlini L, et al. Cervical myelopathy. Technique and results of spinal cord decompression by lateral laminectomy. Ital J Orthop Traumatol 1983; 9:129
9. diPierro CG, Helm GA, Shaffrey CI, et al. Treatment of lumbar spinal stenosis by extensive unilateral decompression and contralateral autologous bone fusion: Operative technique and results. J Neurosurg 1996; 84:166-73.
10. diPierro CG, Helm GA, Shaffrey CI, et al. Treatment of lumbar spinal stenosis by extensive unilateral decompression and contralateral autologous bone fusion: Operative technique and results. J Neurosurg 1996; 84:166
11. Spetzger U, Bertalanffy H, Reinges MH, et al. Unilateral laminotomy for bilateral decompression of lumbar spinal stenosis. Part II: Clinical experiences. Acta Neurochir 1997; 139:397-403.
12. Spetzger U, Bertalanffy H, Reinges MH, et al. Unilateral laminotomy for bilateral decompression of lumbar spinal stenosis. Part II: Clinical experiences. Acta Neurochir 1997; 139:397
13. Mackay DC, Wheelwright EF. Unilateral fenestration in the treatment of lumbar spinal stenosis. Br J Neurosurg 1998; 12:556-8.
14. Mackay DC, Wheelwright EF. Unilateral fenestration in the treatment of lumbar spinal stenosis. Br J Neurosurg 1998; 12:556
15. Mariconda M, Zanforlino G, Celestino GA, et al. Factors influencing the outcome of degenerative lumbar spinal stenosis. J Spinal Disord 2000; 13:131-7.
16. Mariconda M, Zanforlino G, Celestino GA, et al. Factors influencing the outcome of degenerative lumbar spinal stenosis. J Spinal Disord 2000; 13:131
17. Lassale B, Bitan F, Bex M, et al. Résultats fonctionnels et facteurs de pronostic du traitement chirurgical des sténoses lombaires dégénératives. Rev Chir Orthop 1988; 74:85-8.
18. Lassale B, Bitan F, Bex M, et al. Résultats fonctionnels et facteurs de pronostic du traitement chirurgical des sténoses lombaires dégénératives. Rev Chir Orthop 1988; 74:85
19. White AA III, Panjabi MM. Clinical Biomechanics of the Spine. Philadelphia: Lippincott, 1990.
20. Bolender NF, Schönström NSR, Spengler DM. Role of computed tomography and myelography in the diagnosis of central spinal stenosis. J Bone Joint Surg [Am] 1985; 67:240-6.
21. Bolender NF, Schönström NSR, Spengler DM. Role of computed tomography and myelography in the diagnosis of central spinal stenosis. J Bone Joint Surg [Am] 1985; 67:240
22. Willén J, Danielson B, Gaulitz A, et al. Dynamic effects on the lumbar spinal canal. Axially loaded CT-myelography and MRI in patients with sciatica and/or neurogenic claudication. Spine 1997; 22:2968-76.
23. Willén J, Danielson B, Gaulitz A, et al. Dynamic effects on the lumbar spinal canal. Axially loaded CT-myelography and MRI in patients with sciatica and/or neurogenic claudication. Spine 1997; 22:2968
24. Goel VK, Fromknecht SJ, Nishiyama K, et al. The role of lumbar spinal elements in flexion. Spine 1985; 10:516-23.
25. Goel VK, Fromknecht SJ, Nishiyama K, et al. The role of lumbar spinal elements in flexion. Spine 1985; 10:516
26. Hindle RJ, Pearcy MJ, Cross A. Mechanical function of the human lumbar interspinous and supraspinous ligaments. J Biomed Eng 1990; 12:340-4.
27. Hindle RJ, Pearcy MJ, Cross A. Mechanical function of the human lumbar interspinous and supraspinous ligaments. J Biomed Eng 1990; 12:340
28. Iguchi T, Kurihara A, Nakayama J, et al. Minimum 10-year outcome of decompressive laminectomy for degenerative lumbar spinal stenosis. Spine 2000; 25:1754-9.
29. Iguchi T, Kurihara A, Nakayama J, et al. Minimum 10-year outcome of decompressive laminectomy for degenerative lumbar spinal stenosis. Spine 2000; 25:1754
30. Jalovaara P, Lähde S, Iikko E, et al. The significance of residual stenosis after decompression for lumbar spinal stenosis. Ann Chir Gynaecol 1989; 78:304-8.
31. Jalovaara P, Lähde S, Iikko E, et al. The significance of residual stenosis after decompression for lumbar spinal stenosis. Ann Chir Gynaecol 1989; 78:304
32. Johnsson KE, Uden A, Rosen I. The effect of decompression on the natural course of spinal stenosis. A comparison of surgically treated and untreated patients. Spine 1991; 16:615-19.
33. Johnsson KE, Uden A, Rosen I. The effect of decompression on the natural course of spinal stenosis. A comparison of surgically treated and untreated patients. Spine 1991; 16:615
34. Onel D, Sari H, Dönmez C. Lumbar spinal stenosis: Clinical/radiological therapeutic evaluation in 145 patients. Conservative treatment or surgical intervention? Spine 1993; 18:291-8.
35. Onel D, Sari H, Dönmez C. Lumbar spinal stenosis: Clinical/radiological therapeutic evaluation in 145 patients. Conservative treatment or surgical intervention? Spine 1993; 18:291
36. Herno A, Airaksinen O, Saari T, et al. Lumbar spinal stenosis: A matched-pair study of operated and non-operated patients. Br J Neurosurg 1996; 10:461-5.
37. Herno A, Airaksinen O, Saari T, et al. Lumbar spinal stenosis: A matched-pair study of operated and non-operated patients. Br J Neurosurg 1996; 10:461
38. Amundsen T, Weber H, Nordal HJ, et al. Lumbar spinal stenosis: Conservative or surgical management? A prospective 10-year study. Spine 2000; 25:1424-36.
39. Amundsen T, Weber H, Nordal HJ, et al. Lumbar spinal stenosis: Conservative or surgical management? A prospective 10-year study. Spine 2000; 25:1424
40. Atlas SJ, Keller RB, Robson D, et al. Surgical and nonsurgical management of lumbar spinal stenosis. Spine 2000; 25:556-62.
41. Atlas SJ, Keller RB, Robson D, et al. Surgical and nonsurgical management of lumbar spinal stenosis. Spine 2000; 25:556
42. Surin V, Hedelin E, Smith L. Degenerative lumbar spinal stenosis. Results of operative treatment. Acta Orthop Scand 1982; 53:79-85.
43. Surin V, Hedelin E, Smith L. Degenerative lumbar spinal stenosis. Results of operative treatment. Acta Orthop Scand 1982; 53:79
44. Katz JN, Lipson SJ, Larson MG, et al. The outcome of decompressive laminectomy for degenerative lumbar stenosis. J Bone Joint Surg [Am] 1991; 73:809-16.
45. Katz JN, Lipson SJ, Larson MG, et al. The outcome of decompressive laminectomy for degenerative lumbar stenosis. J Bone Joint Surg [Am] 1991; 73:809
46. Herno A, Airaksinen O, Saari T. Long-term results of surgical treatment of lumbar spinal stenosis. Spine 1993; 18:1471-4.
47. Herno A, Airaksinen O, Saari T. Long-term results of surgical treatment of lumbar spinal stenosis. Spine 1993; 18:1471
48. Katz JN, Lipson SJ, Brick GW, et al. Clinical correlates of patient satisfaction after laminectomy for degenerative lumbar spinal stenosis. Spine 1995; 20:1155-60.
49. Katz JN, Lipson SJ, Brick GW, et al. Clinical correlates of patient satisfaction after laminectomy for degenerative lumbar spinal stenosis. Spine 1995; 20:1155
50. Jönsson B, Annertz M, Sjöberg C, et al. A prospective and consecutive study of surgically treated lumbar spinal stenosis. Part II: Five-year follow-up by an independent observer. Spine 1997; 22:2938-44.
51. Jönsson B, Annertz M, Sjöberg C, et al. A prospective and consecutive study of surgically treated lumbar spinal stenosis. Part II: Five-year follow-up by an independent observer. Spine 1997; 22:2938
52. Guigui P, Benoist M, Delecourt C, et al. Motor deficit in lumbar spinal stenosis: A retrospective study of a series of 50 patients. J Spinal Disord 1998; 11:283-8.
53. Guigui P, Benoist M, Delecourt C, et al. Motor deficit in lumbar spinal stenosis: A retrospective study of a series of 50 patients. J Spinal Disord 1998; 11:283
54. Hurri H, Slätis P, Soini J. Lumbar spinal stenosis: Assessment of long-term outcome 12 years after operative and conservative treatment. J Spinal Disord 1998; 11:110-15.
55. Hurri H, Slätis P, Soini J. Lumbar spinal stenosis: Assessment of long-term outcome 12 years after operative and conservative treatment. J Spinal Disord 1998; 11:110
56. Katz JN, Stucki G, Lipson SJ, et al. Predictors of surgical outcome in degenerative lumbar spinal stenosis. Spine 1999; 24:2229-33.
57. Katz JN, Stucki G, Lipson SJ, et al. Predictors of surgical outcome in degenerative lumbar spinal stenosis. Spine 1999; 24:2229
58. Getty CJM. Lumbar spinal stenosis. The clinical spectrum and the results of operation. J Bone Joint Surg [Br] 1980; 62:481-5.
59. Getty CJM. Lumbar spinal stenosis. The clinical spectrum and the results of operation. J Bone Joint Surg [Br] 1980; 62:481
60. Nakai O, Ookawa A, Yamaura I. Long-term roentgenographic and functional changes in patients who were treated with wide fenestration for central lumbar stenosis. J Bone Joint Surg [Am] 1991; 73:1184-91.
61. Nakai O, Ookawa A, Yamaura I. Long-term roentgenographic and functional changes in patients who were treated with wide fenestration for central lumbar stenosis. J Bone Joint Surg [Am] 1991; 73:1184
62. Turner JA, Ersek M, Herron L, et al. Surgery for lumbar spinal stenosis. Attempted meta-analysis of the literature. Spine 1992; 17:1-8.
63. Turner JA, Ersek M, Herron L, et al. Surgery for lumbar spinal stenosis. Attempted meta-analysis of the literature. Spine 1992; 17:1
64. Postacchini F., Cinotti G, Gumina S, et al. Long-term results of surgery in lumbar stenosis. 8-year review of 64 patients. Acta Orthop Scand 1993;(suppl)251:78-80.
65. Airaksinen O, Herno A, Saari T. Surgical treatment of lumbar spinal stenosis: Patients' postoperative disability and working capacity. Eur Spine J 1994; 3:261-4.
66. Airaksinen O, Herno A, Saari T. Surgical treatment of lumbar spinal stenosis: Patients' postoperative disability and working capacity. Eur Spine J 1994; 3:261
67. Jönsson B, Strömqvist B. Lumbar spine surgery in the elderly. Complications and surgical results. Spine 1994; 19:1431-5.
68. Jönsson B, Strömqvist B. Lumbar spine surgery in the elderly. Complications and surgical results. Spine 1994; 19:1431
69. Herno A, Airaksinen O, Saari T, et al. Surgical results of lumbar spinal stenosis. A comparison of patients with or without previous back surgery. Spine 1995; 20:964-9.
70. Herno A, Airaksinen O, Saari T, et al. Surgical results of lumbar spinal stenosis. A comparison of patients with or without previous back surgery. Spine 1995; 20:964
71. Katz JN, Lipson SJ, Chang LG, et al. Seven- to 10-year outcome of decompressive surgery for degenerative lumbar spinal stenosis. Spine 1996; 21:92-8.
72. Katz JN, Lipson SJ, Chang LG, et al. Seven- to 10-year outcome of decompressive surgery for degenerative lumbar spinal stenosis. Spine 1996; 21:92
73. Niggemeyer O, Strauss JM, Schulitz KP. Comparison of surgical procedures for degenerative lumbar spinal stenosis: A meta-analysis of the literature from 1975 to 1995. Eur Spine J 1997; 6:423-9.
74. Niggemeyer O, Strauss JM, Schulitz KP. Comparison of surgical procedures for degenerative lumbar spinal stenosis: A meta-analysis of the literature from 1975 to 1995. Eur Spine J 1997; 6:423
75. Airaksinen O, Herno A, Turunen V, et al. Surgical outcome of 438 patients treated surgically for lumbar spinal stenosis. Spine 1997; 22:2278-82.
76. Airaksinen O, Herno A, Turunen V, et al. Surgical outcome of 438 patients treated surgically for lumbar spinal stenosis. Spine 1997; 22:2278
77. Johnsson KE, Rosen I, Uden A. The natural course of lumbar spinal stenosis. Clin Orthop Rel Res 1992; 279:83-6.
78. Johnsson KE, Rosen I, Uden A. The natural course of lumbar spinal stenosis. Clin Orthop Rel Res 1992; 279:83
79. Katz JN, Lipson SJ, Lew RA, et al. Lumbar laminectomy alone or with instrumented or noninstrumented arthrodesis in degenerative lumbar spinal stenosis. Patient selection, costs, and surgical outcomes. Spine 1997; 22:1123-31.
80. Katz JN, Lipson SJ, Lew RA, et al. Lumbar laminectomy alone or with instrumented or noninstrumented arthrodesis in degenerative lumbar spinal stenosis. Patient selection, costs, and surgical outcomes. Spine 1997; 22:1123
81. Malter AD, McNeney B, Loeser JD, et al. 5-year reoperation rates after different types of lumbar spine surgery. Spine 1998; 23:814-20.
82. Malter AD, McNeney B, Loeser JD, et al. 5-year reoperation rates after different types of lumbar spine surgery. Spine 1998; 23:814
83. Charafeddine H, Gangloff S, Onimus M. L'instabilité post-opératoire après laminoarthrectomie pour sténose lombaire dégénérative. Rev Chir Orthop 1994; 80:379-87.
84. Charafeddine H, Gangloff S, Onimus M. L'instabilité post-opératoire après laminoarthrectomie pour sténose lombaire dégénérative. Rev Chir Orthop 1994; 80:379
85. Frazier DD, Lipson SJ, Fossel AH, et al. Associations between spinal deformity and outcomes after decompression for spinal stenosis. Spine 1997; 22:2025-9.
86. Frazier DD, Lipson SJ, Fossel AH, et al. Associations between spinal deformity and outcomes after decompression for spinal stenosis. Spine 1997; 22:2025
87. Herno A, Airaksinen O, Saari T. Computed tomography after laminectomy for lumbar spinal stenosis. Patients' pain patterns, walking capacity, and subjective disability had no correlation with computed tomography findings. Spine 1994; 19:1975-8.
88. Herno A, Airaksinen O, Saari T. Computed tomography after laminectomy for lumbar spinal stenosis. Patients' pain patterns, walking capacity, and subjective disability had no correlation with computed tomography findings. Spine 1994; 19:1975
89. Herno A, Partanen K, Talaslahti T, et al. Long-term clinical and magnetic resonance imaging follow-up assessment of patients with lumbar spinal stenosis after laminectomy. Spine 1999; 24:1533-7.
90. Herno A, Partanen K, Talaslahti T, et al. Long-term clinical and magnetic resonance imaging follow-up assessment of patients with lumbar spinal stenosis after laminectomy. Spine 1999; 24:1533
91. Herno A, Saari T, Suomalainen O, et al. The degree of decompressive relief and its relation to clinical outcome in patients undergoing surgery for lumbar spinal stenosis. Spine 1999; 24:1010-14.
92. Herno A, Saari T, Suomalainen O, et al. The degree of decompressive relief and its relation to clinical outcome in patients undergoing surgery for lumbar spinal stenosis. Spine 1999; 24:1010