Summary
96 patients with lumbar spinal stenosis were operated on after two to sixteen years of disabling symptoms. There were 50 women and 46 men with a mean age of 59 years. 33 of the patients had been previously operated on for spinal complaints. A laminectomy was performed in 61 patients; at one level in 31 patients, at two levels in 23 patients, and at three levels in seven patients. A hemilaminectomy was performed in 35 patients; at one level in 28 patients, at two levels in five patients, and at three levels in two patients. There were neither internal fixation devices used, nor spondylodesis performed in these operations. Special attention was focused on the effect of age, sex, body mass index and smoking, as well as previous surgery and extent of surgical intervention on the outcome of operative treatment. The follow-up time was 3–11 years (5.5 mean).
Laminectomy at one level resulted in significantly most acceptable results of operative treatment methods. Younger patients and women were more prone to inferior results of operative treatment. Also the extent of surgical intervention, overweight and smoking seemed to have a tendency to worsen the result of operative treatment.
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References
Echeverria T, Lockwood RC (1979) Lumbar spinal stenosis: experience at a community hospital. N Y State J Med 79: 872–873
Getty CJM (1980) Lumbar spinal stenosis. The clinical spectrum and the results of operation. J Bone Joint Surg 62 B: 481–485
Grabias S (1980) The treatment of spinal stenosis. J Bone Joint Surg 62 A: 308–313
Herron L, Mangelsdorf C (1991) Lumbar spinal stenosis: results of surgical treatment. J Spinal Disord 4: 26–33
Johnson K-E, Willner S, Johnson K (1986) Postoperative instability after decompression for lumbar spinal stenosis. Spine 11: 107–110
Johnson K, Rosen I, Uden A (1990) The natural course of lumbar spinal stenosis. Acta Orthop Scand 61 [Suppl] 237: 24
Kirkaldy-Willis WH, Wedge HJ, Young-Hing K, Reilly J (1978) Pathology and pathogenesis of lumbar spondylosis and stenosis. Spine 3: 319–328
Mauersberger W, Nietgen T (1989) Surgical treatment of lumbar stenosis: long-term results. Neurosurg Rev 12: 291–295
Paine KWE (1976) Clinical features of lumbar spinal stenosis. Clin Orthop 115: 77–82
Turner JA, Ersek M, Herron L, Deyo R (1992) Surgery for lumbar spinal stenosis. Attempted meta-analysis of the literature. Spine 17: 1–8
Verbiest H (1954) A radicular syndrome from developmental narrowing of the lumbar vertebral canal. J Bone Joint Surg 36 B: 230–237
Wiltse LL (1977) Surgery for intervertebral disc disease of the lumbar spine. Clin Orthop 129: 22–45
Zdeblick TA (1993) A prospective, randomized study of lumbar fusion. Preliminary results. Spine 18: 983–991
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Lehto, M.U.K., Honkanen, P. Factors influencing the outcome of operative treatment for lumbar spinal stenosis. Acta neurochir 137, 25–28 (1995). https://doi.org/10.1007/BF02188775
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DOI: https://doi.org/10.1007/BF02188775