Decompression(减压) An incision is made in the middle of the low back. The muscles are moved aside and the lamina portion of the vertebrae are exposed. Cutting instruments are used to remove the spinous process, portions of the lamina (laminectomy), and portions of facet joints (facetectomy)...
The objective of this article is to review the efficacy of open laminectomy as a treatment option for patients who fail conservative management. Identification of appropriate surgical candidates (those with clinical findings supported by imaging) and adequate surgical decompression affect ultimate outcomes....
Multilevel lumbar stenosis, in which 1 level requires stabilization due to spondylolisthesis, is routinely treated with multilevel open laminectomy and fusion. We hypothesized that a minimally invasive (MI) decompression is biomechanically superior to open laminectomy and may allow decompression of the ...
The most frequently performed surgical procedure is a liberal laminectomy (wide pedicle-to-pedicle decompression).Open lumbar decompressive laminectomy, the age-old standard surgical treatment, benefits almost 80% of patients with severe LSS. This procedure is usually indicated for persistent, refractory,...
Nevertheless, the peridural fibrotic scar tissue formation inevitably accompanies the primary decompressive laminectomy and is the main reason for difficulties observed when performing open microscopic (OM)-RLD, thus increasing the risk of complications (e.g., unintended durotomy and nerve root injury) ...
Decompression Surgery Eugene K.Wai, ...SimonDagenais, inEvidence-Based Management of Low Back Pain, 2012 Laminectomy Amundsen and colleagues77performed an RCT to compare partial or total laminectomy, medial facetectomy, discectomy, and/or removal of osteophytes from vertebral margins or facet joints...
laminectomy (decompression) posteriorfusion with or without instrumentation posterior lumbar interbody fusion Laminectomy When the vertebra slips forward, the nearby nerves that exit the spine can become pinched or irritated. In addition, the size of the spinal canal in the problem area shrinks, placing...
[12] SALAS-VEGA S, CHAKRAVARTHY V B, WINKELMAN R D, et al. Late-week surgery and discharge to specialty care associated with higher costs and longer lengths of stay after elective lumbar laminectomy[J]. J Neurosurg Spine, 2021, 34(6):864-870. ...
MIS laminectomy/laminotomy can provide good results of decompression of spinal stenosis as compared with COS23,24. To our knowledge, no study comparing postoperative DSCSA changes between COS and MIS has been published. DSCSA has been reported to be significantly associated with clinical outcomes afte...
12.The treatment on degenerative lumbar spinal stenosis with keeping the spinal ligament complex and decompressive laminectomy保留棘突韧带复合结构椎管潜行减压治疗退变性腰椎管狭窄症 13.Microscope-assisted minimally invasive decompression for degenerative lower lumbar spinal stenosis显微镜下微创减压治疗下腰退变性椎...