Long-term follow-up review of patients who underwent laminectomy for lumbar stenosis: a prospective study.

@article{Javid1998LongtermFR,
  title={Long-term follow-up review of patients who underwent laminectomy for lumbar stenosis: a prospective study.},
  author={Manucher J. Javid and Eldad Hadar},
  journal={Journal of neurosurgery},
  year={1998},
  volume={89 1},
  pages={
          1-7
        }
}
OBJECT Decompressive laminectomy for stenosis is the most common operation performed in the lumbar spine in older patients. This prospective study was designed to evaluate long-term results in patients with symptomatic lumbar stenosis. METHODS Between January 1984 and January 1995, 170 patients underwent surgery for lumbar stenosis (86 patients), lumbar stenosis and herniated disc (61 patients), or lateral recess stenosis (23 patients). The male/female ratio for each group was 43:43, 39:22… 

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References

SHOWING 1-10 OF 45 REFERENCES
The outcome of decompressive laminectomy for degenerative lumbar stenosis.
TLDR
It is concluded that the long-term outcome of decompressive laminectomy is less favorable than has been previously reported, and that co-morbidity and a single-interspace laminationectomy are risk factors for a poor outcome.
Outcome after laminectomy for lumbar spinal stenosis. Part I: Clinical correlations.
TLDR
The outcome after laminectomy was found to be less favorable than previously reported, based on a patient questionnaire administered to an unbiased patient population, and further randomized, controlled trials are therefore necessary to determine the efficacy of lumbar fusion as an adjunct to decompressive lumbariectomy.
Surgical Outcome of 438 Patients Treated Surgically for Lumbar Spinal Stenosis
TLDR
The results suggest that clear myelographic stenosis and no prior surgical intervention, no comorbidity of diabetes, no hip joint arthrosis, and no preoperative fracture of the lumbar spine are factors associated with a good outcome in surgical management oflumbar spinal stenosis.
Lumbar spinal stenosis. Clinical features, diagnostic procedures, and results of surgical treatment in 68 patients.
TLDR
The authors' experience with 68 patients with strictly defined, myelographically proven, surgically confirmed lumbar spinal stenosis seen over a 30-month period was reviewed, finding symptoms were frequently bilateral and generally relieved by flexing the lumbosacral spine.
Clinical Correlates of Patient Satisfaction After Laminectomy for Degenerative Lumbar Spinal Stenosis
TLDR
Patients bothered predominantly by back pain preoperatively and those with greater medical comorbidity and functional disability are significantly less satisfied with the results of surgery for degenerative lumbar spinal stenosis.
Degenerative lumbar spinal stenosis. Decompression with and without arthrodesis.
TLDR
All three groups had a significant improvement in the distance that the patients were able to walk at the time of the latest follow-up examination compared with before the operation, and there were no significant differences in the results among the three groups with regard to the relief of pain.
The Maine Lumbar Spine Study, Part III: 1‐Year Outcomes of Surgical and Nonsurgical Management of Lumbar Spinal Stenosis
TLDR
At a 1‐year evaluation of patient‐reported outcomes, patients with severe lumbar spinal stenosis who were treated surgically had greater improvement than patients treated nonsurgically.
A Prospective and Consecutive Study of Surgically Treated Lumbar Spinal Stenosis: Part II: Five‐Year Follow‐Up by an Independent Observer
TLDR
The results after surgical decompression in patients with central spinal stenosis deteriorated with time, and there was a significant correlation between good result and pronounced constriction of the spinal canal.
Appropriateness of Indications for Surgery of Lumbar Disc Hernia and Spinal Stenosis
TLDR
appropriateness as measured by the criteria established by the American panel identified a large percentage of day-to-day practice in the two surgical units as inappropriate, however, use of criteria that include new findings about lack of efficacy of bed rest probably would lower this percentage.
Patient outcomes after lumbar spinal fusions.
TLDR
Clinical outcomes did not differ by diagnosis or fusion technique, but were worse in studies with a greater number of previously operated patients, and complications of fusions are common.
...
...