| Autor: |
Mansour Abdelmageed Makia, Tarek Abdelbary, Amr AlBakry |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Interdisciplinary Neurosurgery, Vol 26, Iss , Pp 101284- (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2214-7519 |
| DOI: |
10.1016/j.inat.2021.101284 |
| Popis: |
Background: The conventional approach for lumbar fixation involves subperiosteal muscle dissection, and disruption of normal blood and nerve supply of the back muscles. Different transmuscular approaches, have been described for better preservation of normal neurovascular structures. This leads to less muscle damage and atrophy and consequently less postoperative pain. Purpose: Compare between transmuscular approach and conventional approach for lumbar spine fixation. Study Design: A prospective comparative study carried at Neurosurgery Department, Zagazig University, during the period from February 2018 to February 2019. Patients and methods: 60 patients with degenerative lumbar instability were included in this study and randomly assigned to one of the two groups, Group A (transmuscular group) and Group B (conventional group). Outcome was assessed, using postoperative Visual Analogue Score (VAS) for back pain, change in pre and postoperative levels of Creatine Phospho-Kinase (CPK), and the postoperative change in the cross-sectional area of multifidus muscle, measured using axial CT cuts. Results: As regards the hospital stay, it was 1.5 days less in Group A than Group B (P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
|
