Decompression surgery and laminectomy decompression for lumbar spinal stenosis Comparative Analysis.docVIP

 PAGE \* MERGEFORMAT 12 Decompression surgery and laminectomy decompression for lumbar spinal stenosis Comparative Analysis Of: Chen, Shen Ningjiang, Lin Mingxia, Lin Qingbiao [Abstract] [Objective] To compare bilateral fenestration decompression and spinous process ligament complex structure to retain the full laminectomy decompression in the treatment of central spinal stenosis lumbar spinal stenosis based efficacy, and describes the composite structure to retain the entire spinous process ligament decompression laminectomy surgical method. [Method] 10 years of surgical treatment of the symptoms of intermittent claudication based central canal stenosis in patients with lumbar spinal stenosis in 93 cases, including double side of the fenestration decompression treatment of 62 patients (fenestration group), with the spinous process ligament complex structure to retain the full laminectomy decompression for the treatment of 31 cases (Paul spine group). were followed up 82 patients (including window 54 patients, 28 cases Paul spines), with an average follow-up of 4 years. to whether intermittent claudication disappeared after decompression as the adequacy of standards activity in low back pain after left lumbar instability as the standard. [Results] window group disappeared after 40 cases of intermittent claudication (74.1%), residual activity of 5 cases of low back pain (9.3%). Paul spine group disappeared after 23 cases of intermittent claudication (82.1%), residual activity in low back pain 3 cases (10.7%). x2 test P valuegt; 0.05. [Conclusion] of central lumbar spinal stenosis and lumbar decompression effect on the stability of the spine window group and Paul was no statistical difference. both decompression effects are good, little effect on lumbar spine stability. but keep the complex structure of the entire spinous process ligament decompression laminectomy surgical field open, simple, easy to damage nerves, the surgical technique is recommended.