Multilevel lumbar spinal stenosis surgical treatment of functional evaluation.docVIP

 PAGE \* MERGEFORMAT 18 Multilevel lumbar spinal stenosis surgical treatment of functional evaluation [Abstract] Based on the 56 patients with multilevel lumbar spinal stenosis in patients with a retrospective study of multilevel lumbar spinal stenosis in the clinical characteristics, surgical methods and postoperative treatment efficacy evaluation. [Method] 1998 to 2002, 56 cases of multi-segment lumbar spinal stenosis patients, routine preoperative clinical neurologic examination, imaging studies, including the standard of the lumbar spine is lateral, left oblique and flexion, extension power bit X-ray, lumbar CT and MRI. function before and after surgery Beaujon score, Oswestry disability index (ODI) and visual analog scale (VAS) for subjective and objective assessment. surgical method used involved extensive segmental laminectomy, pedicle screw fixation, posterolateral fusion fusion-style. [Results] After a mean 2.2 years of follow-up, the patient has improved clinically Beaujon score (P lt;0.05), ODI and VAS scores were significantly different. [Conclusion] extensive laminectomy, pedicle screw fixation system and posterolateral fusion surgery is the treatment of multiple segments of an effective means of lumbar spinal stenosis, spinal decompression as long as accurately selected segments of the surgical procedures can be a good and lasting clinical results. [Keywords:] multilevel surgical treatment of lumbar spinal stenosis Abstract: [Objective] To evaluate the clinical and radiological findings in 56 patients with multilevel lumbar spinal stenosis in pre-and post-surgical treatment. [Method] From 1998 and 2002, 56 patients suffering from multilevel lumbar spinal stenosis were included in a retrospective clinical study. Plain radiographs, MRI and / or CT myelograms were obtained preoperatively. The patients were assessed clinically with Oswestry disability index (ODI), visual analog scale (VAS) and the Beaujon functional score. Surgical procedure