Open laminectomy vs. minimally invasive laminectomy for lumbar spinal stenosis: a review.

Autor:	Dhar UK; Department of Ocean and Mechanical Engineering, Florida Atlantic University, Boca Raton, FL, United States., Menzer EL; Department of Ocean and Mechanical Engineering, Florida Atlantic University, Boca Raton, FL, United States., Lin M; Department of Ocean and Mechanical Engineering, Florida Atlantic University, Boca Raton, FL, United States., O'Connor T; Department of Neurosurgery, Marcus Neuroscience Institute, Boca Raton Regional Hospital, Boca Raton, FL, United States., Ghimire N; Department of Orthopedic, Tribhuvan University Teaching Hospital, Kathmandu, Nepal., Dakwar E; Department of Neurosurgery, Marcus Neuroscience Institute, Boca Raton Regional Hospital, Boca Raton, FL, United States., Papanastassiou ID; Department of Orthopedic, General Oncological Hospital Kifisias 'Agioi Anargryroi', Athens, Greece., Aghayev K; Department of Neurosurgery, Biruni University, Istanbul, Turkey., Tsai CT; Department of Ocean and Mechanical Engineering, Florida Atlantic University, Boca Raton, FL, United States., Vrionis FD; Department of Neurosurgery, Marcus Neuroscience Institute, Boca Raton Regional Hospital, Boca Raton, FL, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in surgery [Front Surg] 2024 Nov 07; Vol. 11, pp. 1357897. Date of Electronic Publication: 2024 Nov 07 (Print Publication: 2024).
DOI:	10.3389/fsurg.2024.1357897
Abstrakt:	Objectives: Lumbar spinal stenosis (LSS) refers to a narrowing of the space within the spinal canal, which can occur at any level but is most common in the lumbar spine. Open laminectomy and minimally invasive laminectomy (MIL) procedures are the most common surgical gold standard techniques for treating LSS. This study aims to review clinical and biomechanical literature to draw comparisons between open laminectomy and various MIL techniques. The MIL variation comprises microendoscopic decompression laminotomy, unilateral partial hemilaminectomy, and microendoscopic laminectomy. Methods: A review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We reviewed 25 clinical, 6 finite element, and 3 cadaveric studies associated with treating LSS. We reviewed literature that discusses factors such as operation time, length of hospital stay, postoperative complications, reoperation rate, effect on elderly patients, patients' satisfaction, and adjacent segment disease degeneration for the clinical studies, whereas the range of motion (ROM), von Mises stresses, and stability was compared in biomechanical studies. Results: MIL involves less bone and ligament removal, resulting in shorter hospital stays and lower reoperation and complication rates than open laminectomy. It improves the quality of health-related living standards and reduces postoperative pain. Biomechanical studies suggest that laminectomy and facetectomy increase annulus stress and ROM, leading to segmental instability. Conclusion: Although theoretically, MIL means less tissue injury, pain, and faster recovery in the short term, the long-term results depend on the adequacy of the decompression procedure and tend to be independent of MIL or open laminectomy. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2024 Dhar, Menzer, Lin, O'Connor, Ghimire, Dakwar, Papanastassiou, Aghayev, Tsai and Vrionis.)
Databáze:	MEDLINE
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