Volume : V, Issue : IV, April - 2015

Functional outcome of surgical management of degenerative lumbar canal stenosis using Japanese orthopedic association score (JOA)

Dr. Ashish Sharma, Dr. Sanjay Patil , Dr. Mohit Gupta

Abstract :

 Objective: To determine the functional outcome after surgical management of degenerative lumbar canal 

stenosis.
Method: In the present study 20 patients of degenerative lumbar canal stenosis were enrolled. All the Patients were managed with three different surgical techniques according to preformulated indications. JOA scoring system for low backache was used to assess the patients. The recovery rate was calculated as reported by Hirabayashi et al. (1981). Surgical 
outcome was assessed on the recovery rate and was classified using a four grade scale: Excellent, improvement of >90%; 
good, 75–89% improvement; fair, 50–74% improvement; and poor, below 49% improvement. The patients were evaluated 
post–op at 3 months, 6 month and one year follow–up. 
Results: 55% patients in the study were having JOA scores less than 19 preoperatively. On post operative 3rd month 75% 
patients had scores 20 and above whereas on post operative 6th month, the proportion was increased to 95%. On post 
operative one year no patient had scores less than 20. Total 55% patients were having good functional outcome whereas 
5% had excellent outcome. Fair outcome was observed in 35% patients and poor in 5% patients.
Conclusion: Surgical treatment in patients of degenerative lumbar canal stenosis yields excellent results as observed on 
the basis of JOA scoring system.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Ashish Sharma, Dr. Sanjay Patil , Dr. Mohit Gupta Functional outcome of surgical management of degenerative lumbar canal stenosis using Japanese orthopedic association score (JOA) Indian Journal of Applied Research, Vol.5, Issue : 4 April 2015


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