IJSR - International Journal of Scientific Research

DR SAMIR G PATEL; DR  MUKUND M PRABHAKAR; DR HIMANSHU C PANCHAL

Volume : III, Issue : II, February - 2014

Study Of Posterior Decompression Of Lumbar Spine Canal Stenosis By Spinous Process Osteotomy Approach

Dr Samir G Patel, Dr Mukund M Prabhakar, Dr Himanshu C Panchal

Abstract :

Aim- To evaluate the results of procedure of SPINOUS PROCESS OSTEOTOMY(SPO) in posterior decompression of lumbar spine canal stenosis in terms of (1) Outcomes including neuro-recovery, symptomatology and function (2) Safety including occurrence and rate of complications (3) Radiographically maintenance of stability and alignment in affected and adjacent motion segments | Material and methods- study of 25 patients of Civil Hospital Ahmedabad of age range 30-60yrs. In all procedure was SPO+fenestration+foraminotomy with discectomy/laminotomy in some cases. Assessment of results with standard outcome measures was carried out through standard Performa. | Results- All except one patient had neurological and syptomatological recovery with minimum follow up of 2yr. All patients had SPO, fenestration and foraminotomy and additionally 3 underwent laminotomy and 14 discectomy. 1 poor result was due to intra op nerve root injury with associated adherent hard disc. | Conclusions- Technique is associated with minimal muscle injury, effective , faster and long lasting decompression, and satisfactory neurological and functional outcomes with acceptable low risk of complication, highly safe with maintenance of spinal stability. |