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Published in: European Spine Journal 6/2011

01-06-2011 | Original Article

Clinical outcomes of microscopic decompression for degenerative lumbar foraminal stenosis: a comparison between patients with and without degenerative lumbar scoliosis

Authors: Kentaro Yamada, Hideki Matsuda, Masaharu Nabeta, Hiroshi Habunaga, Akinobu Suzuki, Hiroaki Nakamura

Published in: European Spine Journal | Issue 6/2011

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Abstract

We performed microscopic lumbar foraminotomy in all the patients diagnosed with degenerative lumbar foraminal stenosis (DLFS) and retrospectively reviewed the clinical outcomes and the factors influencing them. The preoperative Japanese Orthopaedic Association (JOA) score of 13.8 significantly improved to 21.9 postoperatively. Although leg pain reduced in 44 patients (95.7%) immediately after surgery, it recurred in 9 patients (19.6%). The recurrence frequency was significantly higher and the JOA score improvement ratios significantly lower in patients with degenerative lumbar scoliosis (DLS) than in those without DLS. Even among patients with DLS, those with <3° Cobb angle difference between the supine and standing positions showed satisfactory results, with no recurrence. In conclusion, microscopic lumbar foraminotomy for DLFS produced satisfactory clinical outcomes even in patients with DLS. However, the outcomes were poor in patients with unstable DLS.
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Metadata
Title
Clinical outcomes of microscopic decompression for degenerative lumbar foraminal stenosis: a comparison between patients with and without degenerative lumbar scoliosis
Authors
Kentaro Yamada
Hideki Matsuda
Masaharu Nabeta
Hiroshi Habunaga
Akinobu Suzuki
Hiroaki Nakamura
Publication date
01-06-2011
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue 6/2011
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-010-1597-1

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