1
40
1
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/00007632-199901010-00015" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/00007632-199901010-00015</a>
Pages
62–66
Issue
1
Volume
24
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Spinous process osteotomies to facilitate lumbar decompressive surgery.
Publisher
An entity responsible for making the resource available
Spine
Date
A point or period of time associated with an event in the lifecycle of the resource
1999
1999-01
Subject
The topic of the resource
80 and over; Aged; Decompression; Female; Humans; Laminectomy/adverse effects/methods; Low Back Pain; Lumbar Vertebrae/*surgery; Magnetic Resonance Imaging; Male; Middle Aged; Osteotomy/adverse effects/instrumentation/*methods; Pain Measurement; Prospective Studies; Spinal Stenosis/*surgery; Surgical/adverse effects/instrumentation/*methods; Treatment Outcome
Creator
An entity primarily responsible for making the resource
Weiner B K; Fraser R D; Peterson M
Description
An account of the resource
STUDY DESIGN: A technique for lumbar decompression using spinous process osteotomies is described, and the outcomes are studied prospectively. OBJECTIVE: To describe a technique that affords a wide exposure for decompression while minimizing damage to surrounding tissues, and to analyze the outcomes formally using the technique. SUMMARY OF BACKGROUND DATA: Commonly used techniques of lumbar decompression, which include bilateral takedown of paraspinal musculature and aggressive bony resection, can result in significant iatrogenic sequelae, whereas minimally invasive techniques often provide inadequate visualization and/or decompression. METHOD: Unilateral limited takedown of the multifidus is undertaken, followed by spinous process osteotomies at the involved levels. The spinous processes with the attached interspinous/supraspinous ligaments are then retracted. A complete "trumpeted" decompression is then undertaken. Fifty consecutive patients undergoing the procedure were analyzed prospectively and at follow-up by an independent observer using a validated functional outcome measure, a visual analog pain scale, and a patient satisfaction score. RESULTS: Functional outcome scores improved on average by 47%, pain levels were reduced by 66%, and high satisfaction rates were reported by 83% of patients. CONCLUSIONS: The technique affords excellent visualization and a wide area available for Kerrison use and angulation while minimizing destruction to tissues not directly involved in the pathologic process, including the paraspinal musculature as well as the interspinous/supraspinous ligament complex and facets. Additionally, it minimizes dead space and improves the cosmetic result.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/00007632-199901010-00015" target="_blank" rel="noreferrer noopener">10.1097/00007632-199901010-00015</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
1999
80 and over
Aged
Decompression
Female
Fraser R D
Humans
Laminectomy/adverse effects/methods
Low Back Pain
Lumbar Vertebrae/*surgery
Magnetic Resonance Imaging
Male
Middle Aged
Osteotomy/adverse effects/instrumentation/*methods
Pain Measurement
Peterson M
Prospective Studies
Spinal Stenosis/*surgery
Spine
Surgical/adverse effects/instrumentation/*methods
Treatment Outcome
Weiner B K