Long-Term Outcomes of Laminectomy in Lumbar Spinal Stenosis: A Systematic Review and Meta-Analysis.

Autor: Sajadi K; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Azarhomayoun A; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Jazayeri SB; Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran., Baigi V; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Ranjbar Hameghavandi MH; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Rostamkhani S; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Atlasi R; Medical Library & Information Science, Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran., Faghih Jooybari M; Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran., Ghodsi Z; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.; Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran., Vaccaro AR; Department of Orthopedics and Neurosurgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania, United States., Khorasanizadeh M; Division of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States., Rahimi-Movaghar V; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.; Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.; Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.; Universal Scientific Education and Research Network (USERN), Tehran, Iran.; Institute of Biochemistry and Biophysics, University of Tehran, Tehran, Iran.; Spine Program, University of Toronto, Toronto, Canada.
Jazyk: angličtina
Zdroj: Asian journal of neurosurgery [Asian J Neurosurg] 2022 Aug 29; Vol. 17 (2), pp. 141-155. Date of Electronic Publication: 2022 Aug 29 (Print Publication: 2022).
DOI: 10.1055/s-0042-1756421
Abstrakt: Objective  Lumbar spinal stenosis (LSS) patients suffer from significant pain and disability. To assess long-term safety and efficacy of laminectomy in LSS patients, a systematic review and meta-analysis study was conducted. Methods  Literature review in MEDLINE, Embase, Scopus, Web of Science, and Cochrane Library databases was performed using a predefined search strategy. Articles were included if they met the following characteristics: human studies, LSS, and at least 5 years of follow-up. Outcome measures included patient satisfaction, pain, disability, claudication, reoperation rates, and complications. Results  Twelve articles met the eligibility criteria for our study. Overall, there was low-quality evidence that patients undergoing laminectomy, with at least 5 years of follow-up, have significantly more satisfaction, and less pain and disability, compared with the preoperative baseline. Assessment of neurogenic intermittent claudication showed significant improvement in walking abilities. We also reviewed the postoperative complication and adverse events in the included studies. After meta-analysis was performed, the reoperation rate was found to be 14% (95% confidence interval: 13-16%). Conclusion  Our study provides low-quality evidence suggesting that patients undergoing laminectomy for LSS have less disability and pain and can be more physically active postoperatively.
Competing Interests: Conflict of Interest The authors declare no conflict of interest except Alexander R. Vaccaro that presented in ( Appendix Table A2 ).
(Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
Databáze: MEDLINE
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