[Risk of instability following decompression surgery for lumbar spinal stenosis]. 1995

K P Schulitz
Orthopädischen Klinik, Düsseldorf.

46 patients with lumbar stenosis and neurogenic claudication underwent laminectomy at least over 2 and in 17 cases over 3 segments with removal of the medial half of the facets. 30 patients had a straight spine and 16 a rotation scoliosis. The patients were followed-up regularly 3-10 years after operation, the pre- and postoperative dynamic X-ray views were compared and the symptoms of the patients assessed. In total, 14 or 30% of the spine were unstable. Most commonly, translational instabilities occurred, less frequently retrolisthetic and rotational ones. A significant correlation between low back pain and instability was not found. We are of the opinion that the main cause of an instability is based on the natural history of the disease and is not originated in the extent of surgery.

UI MeSH Term Description Entries
D007593 Joint Instability Lack of stability of a joint or joint prosthesis. Hypermobility, Joint,Instability, Joint,Laxity, Joint,Hypermobilities, Joint,Instabilities, Joint,Joint Hypermobilities,Joint Hypermobility,Joint Instabilities,Joint Laxities,Joint Laxity,Laxities, Joint
D007796 Laminectomy A surgical procedure that entails removing all (laminectomy) or part (laminotomy) of selected vertebral lamina to relieve pressure on the SPINAL CORD and/or SPINAL NERVE ROOTS. Vertebral lamina is the thin flattened posterior wall of vertebral arch that forms the vertebral foramen through which pass the spinal cord and nerve roots. Laminotomy,Laminectomies,Laminotomies
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D012600 Scoliosis An appreciable lateral deviation in the normally straight vertical line of the spine. (Dorland, 27th ed) Scolioses
D013130 Spinal Stenosis Narrowing of the spinal canal. Spinal Stenoses,Stenoses, Spinal,Stenosis, Spinal

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