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- W2750204074 abstract "Background: The purpose of this study is to investigate the differences of the clinical results and imaging findings among three different bilateral decompression via unilateral approach with a minimum 2-year follow-up period.Methods: Thirty consecutive patients with lumbar spinal canal stenosis who had undergone bilateral decompression via 3 different unilateral paraspinous approaches with a minimum 2-year follow-up period were chosen retrospectively for groups A (conventional open surgery), B (mini open surgery), and C (micro-endoscopic surgery). The clinical results and imaging findings of these three groups were then investigated.Results: A significant difference in length of incision and intraoperative blood loss per level decompressed was seen with group A>B>C. Operative time per level decompressed was longer in group C than in groups A or B. Japanese Orthopaedic Association (JOA) score recovery rate was lower in group B than in group C. The change ratios of cross-sectional area (CSA) of the ipsilateral and contralateral multifidus were smaller in group A than in groups B or C. Ipsilateral facet joint preservation was less in group A than group C, and contralateral facet joint preservation was less in group A than in groups B or C. The difference in change in slippage was greater in group A than in group C.Conclusion: This study revealed that bilateral decompression via a unilateral approach using mini open or microendoscopic procedures could be better surgical interventions compared to a conventional unilateral open approach for paravertebral muscle and facet joint preservation for at least 2 years." @default.
- W2750204074 created "2017-08-31" @default.
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- W2750204074 date "2017-01-01" @default.
- W2750204074 modified "2023-09-25" @default.
- W2750204074 title "Comparison of Three Different Paraspinous Unilateral Approaches to the Spinal Canal for Lumbar Decompression-Minimally 2-Year Postoperative Evaluation" @default.
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- W2750204074 doi "https://doi.org/10.4172/2165-7939.1000381" @default.
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