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Text
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URL Address
<a href="http://doi.org/10.3171/2010.9.SPINE091012" target="_blank" rel="noreferrer noopener">http://doi.org/10.3171/2010.9.SPINE091012</a>
Pages
46–50
Issue
1
Volume
14
Dublin Core
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Title
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A novel method for treatment of lumbar spinal stenosis in high-risk surgical candidates: pilot study experience with percutaneous remodeling of ligamentum flavum and lamina.
Publisher
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Journal of neurosurgery. Spine
Date
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2011
2011-01
Subject
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Adult; Female; Humans; Male; Middle Aged; Aged; Pilot Projects; Follow-Up Studies; Risk Factors; Prospective Studies; Pain Measurement; Equipment Design; Comorbidity; Disability Evaluation; Conscious Sedation; Fluoroscopy; Ligamentum Flavum/*surgery; Lumbar Vertebrae/*surgery; Minimally Invasive Surgical Procedures/*instrumentation; Postoperative Complications/diagnosis/*prevention & control; Spinal Stenosis/*surgery; Anesthesia; Human; Pilot Studies; Middle Age; 80 and over; Local; Ligaments; Decompression; Surgical/*instrumentation; 80 and Over; Spinal Stenosis – Surgery; Postoperative Complications – Diagnosis; Articular – Surgery; Lumbar Vertebrae – Surgery; Minimally Invasive Procedures – Equipment and Supplies; Postoperative Complications – Prevention and Control; Surgical – Equipment and Supplies
Creator
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Chopko Bohdan Wolodymyr
Description
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OBJECT: treatment of lumbar spinal stenosis (LSS) in chronically ill or debilitated patients is challenging. The percutaneous remodeling of ligamentum flavum and lamina (PRLL) technique is a novel method for decompression of the hypertrophic ligamentum flavum component of LSS that is performed using a fluoroscopically guided percutaneous approach, local anesthesia, and minimal sedation. METHODS: fourteen patients deemed to be at high risk for complications related to open spine surgery and general anesthesia were treated using the PRLL technique. Prospectively collected visual analog scale (VAS) and Oswestry Disability Index (ODI) data were analyzed at the most recent follow-up. The average follow-up duration was 23.5 weeks. RESULTS: a statistically significant improvement in VAS scores was observed, with a reduction in pain of 53% compared with preoperative levels. In contrast, the ODI scores failed to improve. CONCLUSIONS: this pilot series points to a potential new therapeutic option for LSS in high-risk surgical patients.
Identifier
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<a href="http://doi.org/10.3171/2010.9.SPINE091012" target="_blank" rel="noreferrer noopener">10.3171/2010.9.SPINE091012</a>
Rights
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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).
2011
80 and over
Adult
Aged
Anesthesia
Articular – Surgery
Chopko Bohdan Wolodymyr
Comorbidity
Conscious Sedation
Decompression
Disability Evaluation
Equipment Design
Female
Fluoroscopy
Follow-Up Studies
Human
Humans
Journal of neurosurgery. Spine
Ligaments
Ligamentum Flavum/*surgery
Local
Lumbar Vertebrae – Surgery
Lumbar Vertebrae/*surgery
Male
Middle Age
Middle Aged
Minimally Invasive Procedures – Equipment and Supplies
Minimally Invasive Surgical Procedures/*instrumentation
Pain Measurement
Pilot Projects
Pilot Studies
Postoperative Complications – Diagnosis
Postoperative Complications – Prevention and Control
Postoperative Complications/diagnosis/*prevention & control
Prospective Studies
Risk Factors
Spinal Stenosis – Surgery
Spinal Stenosis/*surgery
Surgical – Equipment and Supplies
Surgical/*instrumentation