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Text
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URL Address
<a href="http://doi.org/10.1097/AJP.0b013e31827fb803" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/AJP.0b013e31827fb803</a>
Pages
939–943
Issue
11
Volume
29
Dublin Core
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Title
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Long-term results of percutaneous lumbar decompression for LSS: two-year outcomes.
Publisher
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The Clinical journal of pain
Date
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2013
2013-11
Subject
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80 and over; 80 and Over; Aged; Cohort Studies; Decompression; Disability Evaluation; Female; Human; Humans; Intermittent Claudication – Complications; Intermittent Claudication – Surgery; Intermittent Claudication/complications/surgery; Lumbar Vertebrae; Male; Middle Age; Middle Aged; Prospective Studies; Questionnaires; Spinal Stenosis – Complications; Spinal Stenosis – Surgery; Spinal Stenosis/complications/*surgery; Surgical – Methods; Surgical/*methods; Surveys and Questionnaires; Time Factors; Treatment Outcome; Treatment Outcomes; Visual Analog Scale; Visual Analog Scaling
Creator
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Chopko Bohdan W
Description
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OBJECTIVE: The aim of this report was to evaluate the long-term effectiveness and safety of mild lumbar decompression for the treatment of neurogenic claudication associated with lumbar spinal stenosis. This technique uses a percutaneous dorsal approach to remove small portions of ligament and lamina, thereby restoring space and decompressing the spinal canal. MATERIALS AND METHODS: Two-year data are reported for 45 patients treated with mild decompression at 11 US sites. Outcome measures included the Visual Analog Scale (VAS), Oswestry Disability Index, and Zurich Claudication Questionnaire. Safety was monitored throughout the procedural and follow-up period for all patients. Interim data are included for these patients at 1 week, 6 months, and 1-year follow-up. RESULTS: Seventy-one percent of patients reported improvement in VAS at the end of the reporting period. At 2 years, patients demonstrated a statistically significant reduction of pain as measured by VAS, and improvement in physical function and mobility was significant as measured by Zurich Claudication Questionnaire and Oswestry Disability Index. Tukey honestly significant different test found significant improvement in all outcome measures from baseline to each follow-up interval. Further, major improvement occurred by 1-week follow-up and showed no difference between each subsequent follow-up, signifying considerable stability and durability of the initial result over time. No major device or intraprocedural adverse events were reported. DISCUSSION: In this report of 2-year follow-up on 45 patients treated with mild percutaneous lumbar decompression, patients experienced statistically significant pain relief and improved functionality.
Identifier
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<a href="http://doi.org/10.1097/AJP.0b013e31827fb803" target="_blank" rel="noreferrer noopener">10.1097/AJP.0b013e31827fb803</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2013
80 and over
Aged
Chopko Bohdan W
Cohort Studies
Decompression
Disability Evaluation
Female
Human
Humans
Intermittent Claudication – Complications
Intermittent Claudication – Surgery
Intermittent Claudication/complications/surgery
Lumbar Vertebrae
Male
Middle Age
Middle Aged
Prospective Studies
Questionnaires
Spinal Stenosis – Complications
Spinal Stenosis – Surgery
Spinal Stenosis/complications/*surgery
Surgical – Methods
Surgical/*methods
Surveys and Questionnaires
The Clinical journal of pain
Time Factors
Treatment Outcome
Treatment Outcomes
Visual Analog Scale
Visual Analog Scaling