Article
Orthopedics
Shuheng Zhai, Wenkui Zhao, Bin Zhu, Xin Huang, Chen Liang, Bao Hai, Lixiang Ding, Hongwei Zhu, Xianhai Wang, Feng Wei, Hongling Chu, Xiaoguang Liu
Summary: This study aims to compare the effectiveness of percutaneous endoscopic decompression surgery and open decompression and fusion for the treatment of lumbar spinal stenosis (LSS), investigate the prognosis risk factors for LSS, and evaluate the influence of percutaneous endoscopic decompression on operative level stability and degeneration of adjacent level.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Review
Clinical Neurology
Radek Kaiser, Lucia Kantorova, Alena Langaufova, Simona Slezakova, Dagmar Tuckova, Miloslav Klugar, Zdenek Klezl, Pavel Barsa, Jan Cienciala, Richard Hajduk, Lumir Hrabalek, Roman Kucera, David Netuka, Martin Prymek, Martin Repko, Martin Smrcka, Jan Stulik
Summary: This systematic review and meta-analysis found no benefits of adding instrumented spinal fusion to decompression for treating degenerative spondylolisthesis (DS). Isolated decompression seems sufficient for most patients.
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY
(2023)
Article
Clinical Neurology
Sang-Jin Park, Jong-Moon Hwang, Dae-Chul Cho, Subum Lee, Chi Heon Kim, Inbo Han, Dae-Won Park, Heum-Dai Kwon, Kyoung-Tae Kim
Summary: This study compared the outcomes of direct and indirect lumbar interbody fusion as revision surgery. The results showed that although oblique lumbar interbody fusion (OLIF) was inferior to transforaminal lumbar interbody fusion (TLIF) in some measures, there was no difference between the two surgeries in terms of clinical outcomes. However, OLIF was considered a safer and effective minimally invasive surgery due to its ability to avoid complications associated with the posterior approach.
Article
Surgery
Sheng-Chieh Tseng, Yu-Hsien Lin, Yun-Che Wu, Cheng-Min Shih, Kun-Hui Chen, Cheng-Hung Lee, Chien-Chou Pan
Summary: Oblique lumbar interbody fusion (OLIF) is a popular technique for treating degenerative lumbar spinal disease. This study analyzed the indirect decompression effect of OLIF in patients with lumbar foraminal stenosis. The results showed significant improvement in pain and quality of life with OLIF, and the Non-PD group had better outcomes, while additional direct posterior decompression may worsen the results.
FRONTIERS IN SURGERY
(2022)
Article
Clinical Neurology
JinWoo Jung, Subum Lee, Dae-Chul Cho, In-Bo Han, Chi Heon Kim, Young-Seok Lee, Kyoung-Tae Kim
Summary: The study compared the effectiveness of OLIF as primary surgery versus revision surgery, showing worse clinical outcomes in the revision surgery group at 6 and 12 months post-operatively, while radiological outcomes were similar between the two groups. Revision surgery and severe subsidence were identified as risk factors for differences in ODI.
WORLD NEUROSURGERY
(2021)
Article
Clinical Neurology
Aristeidis Prassas, Georgios A. Alexiou, Paraskevi Pourni, John Magras, Kalliopi Tsoleka, Christos A. Tsonidis, Parmenion P. Tsitsopoulos
Summary: This study compared the clinical outcomes of short and long fusion following surgery for lumbar spinal stenosis, finding that patients in both groups showed significant clinical improvement at one year, with similar favorable outcomes. Older patients with multilevel stenosis and more co-morbidities were associated with longer instrumentation, but complications and clinical outcomes were equally favorable compared to short instrumented fusion for fewer levels of disease.
CLINICAL NEUROLOGY AND NEUROSURGERY
(2021)
Article
Clinical Neurology
Anton Frueh, Patrick Leissa, Dimitri Tkatschenko, Peter Truckenmueller, Lars Wessels, Peter Vajkoczy, Simon Bayerl
Summary: This study analyzed the treatment of patients with adjacent segment stenosis after lumbar fusion surgery and found that decompression may be as effective as decompression and fusion in the short term for patients without obvious signs of instability and neuroforaminal stenosis. A pure microsurgical decompression may be a suitable alternative due to significantly shorter surgical time.
NEUROSURGICAL REVIEW
(2022)
Article
Health Care Sciences & Services
Bin Zhang, Yuan Hu, Qingquan Kong, Pin Feng, Junlin Liu, Junsong Ma
Summary: For patients with adjacent segment disease (ASD) requiring decompression after lumbar fusion, oblique lumbar interbody fusion combined with posterior decompression (OLIF-PD) may be an alternative revision strategy. Compared with traditional posterior lumbar interbody fusion (PLIF) revision surgery, OLIF-PD has similar clinical outcomes but with reduced operation time, blood loss, hospital stay, and complications. These findings suggest that OLIF-PD is a feasible option for ASD.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Medicine, General & Internal
Joon-Bum Woo, Dong-Wuk Son, Su-Hun Lee, Jun-Seok Lee, Sang Weon Lee, Geun Sung Song
Summary: The aim of this study was to investigate the association between various factors of indirect decompression. The results showed that indirect decompression can improve spinal stenosis in patients, and factors such as facet joint gap and bulging disc thickness are related to indirect decompression.
Review
Clinical Neurology
Martin J. Gagliardi, Alfredo J. Guiroy, Gaston Camino-Willhuber, Andrei F. Joaquim, Charles A. Carazzo, Ezequiel Yasuda, Juan P. Cabrera, Alejandro R. Morales Ciancio
Summary: Indirect and direct decompression and fusion techniques are similarly effective in treating lumbar spinal stenosis and instability. The indirect decompression and fusion group had significantly less intraoperative blood loss and surgical time values.
GLOBAL SPINE JOURNAL
(2023)
Article
Health Care Sciences & Services
Rikke Kruger Jensen, Christian Volmar Skovsgaard, Dorthe Scholer Ziegler, Berit Schiottz-Christensen, Rune Mygind Mieritz, Andreas K. Andresen, Jan Hartvigsen
Summary: This study compared patient and sociodemographic characteristics, geographical location and comorbidity between surgically and non-surgically treated Danish patients diagnosed with LSS from 2002 to 2018 and described variations over time. The study found that surgically treated patients were more likely to be aged 65-74 years, have higher income and reside in the northern part of Denmark. There were considerable variations in the relative risk of surgery between and within geographical regions.
BMC HEALTH SERVICES RESEARCH
(2023)
Article
Medicine, General & Internal
Pengfa Tu, Shuo Cao, Chenyang Jiang, Chong-chao Yan
Summary: This study found no significant difference in leg pain relief in elderly patients with two-segment lumbar spinal stenosis when treated with decompression and fusion with internal fixation or simple decompression. However, simple decompression is associated with less intraoperative injuries, better postoperative functional recovery, and reduced hospital stay.
PAKISTAN JOURNAL OF MEDICAL SCIENCES
(2021)
Article
Clinical Neurology
Austin Q. Nguyen, Jackson P. Harvey, Krishn Khanna, Bryce A. Basques, Garrett K. Harada, Frank M. Phillips, Kern Singh, Christopher Dewald, Howard S. An, Matthew W. Colman
Summary: The reoperation rate after anterior or lateral lumbar interbody fusions without direct posterior decompression is low. Majority of same-level reoperations were due to a need for further decompression. Smaller preoperative canal diameters were associated with the need for revision decompression.
JOURNAL OF NEUROSURGERY-SPINE
(2021)
Article
Clinical Neurology
Michael L. Martini, Dominic A. Nistal, Brian C. Deutsch, Sean N. Neifert, Colin D. Lamb, John M. Caridi
Summary: Neurogenic claudication does not significantly increase the odds of adverse outcomes following surgical fusion for lumbar spinal stenosis. Interestingly, patients with neurogenic claudication had lower total hospitalization charges following PLIF and LLIF surgeries, but not ALIF surgeries.
GLOBAL SPINE JOURNAL
(2021)
Article
Clinical Neurology
Patawut Bovonratwet, Alex Gu, Aaron Z. Chen, Andre M. Samuel, Avani S. Vaishnav, Evan D. Sheha, Catherine H. Gang, Sheeraz A. Qureshi
Summary: This retrospective cohort study analyzed the trends and outcomes of navigated versus conventional instrumented posterior lumbar fusion surgeries. The use of navigation was associated with significantly lower rates of hardware-related revisions at 90-day and 1-year follow-up, but showed no differences in other 90-day perioperative complications.
GLOBAL SPINE JOURNAL
(2021)