Far Lateral Tubular Decompression: A Case Series Studying One and Two Year Outcomes with Predictors of Failure
| Autor: | Tadhg J O'Gara, Ziyad O. Knio, Suman Medda, Tianyi D. Luo, Alejandro Marquez-Lara, John M St Angelo, Wesley Hsu |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Decompression Visual analogue scale Neurosurgery back pain Scoliosis tubular decompression 030204 cardiovascular system & hematology leg pain 03 medical and health sciences 0302 clinical medicine Lumbar Back pain medicine Foramen lumbar nerve decompression minimally invasive surgery Univariate analysis business.industry General Engineering medicine.disease Surgery Oswestry Disability Index Orthopedics disability medicine.symptom business foraminal stenosis 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.5133 |
| Popis: | Introduction The optimal surgical treatment of isolated lumbar foraminal stenosis has not been defined. Minimally invasive decompression of the foramen from a far lateral tubular decompression (FLTD) approach has been shown to not only have minimal morbidity but also highly variable success rates at short-term follow-up. It is important to quantify improvement and define the demographic and radiographic parameters that predict failure in this promising, minimally invasive surgical technique. This study investigates pain and disability score improvement following FLTD at 12 and 24 months and investigates associations with failure. Methods All patients who underwent lumbar FLTD by a single surgeon at a single institution from September 2015 to January 2018 were included in this prospective case series. Visual analog scale (VAS) for back pain and leg pain and Oswestry Disability Index (ODI) were collected preoperatively and at the 12- and 24- month follow-ups. Outcomes between visits were fitted to a linear mixed-effects model. The univariate analysis investigated demographic, radiographic, and operative associations with subsequent open revision. Results A total of 42 patients were included in this study. Back pain (VAS 5.84 to 3.32, p |
| Databáze: | OpenAIRE |
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