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Prospective comparative analysis of three types of decompressive surgery for lumbar central stenosis: conventional, full-endoscopic, and biportal endoscopic laminectomy.
Hwang, Yoon Ha; Kim, Jin-Sung; Chough, Chung-Kee; Cho, Junsoo; Kim, Hyeun-Sung; Jang, Jae-Won; Park, Choon-Keun; Lee, Chul-Woo; Park, Man-Kyu; Son, Sang-Kyu; Park, Jeong-Yoon.
Afiliación
  • Hwang YH; Department of Neurosurgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
  • Kim JS; Department of Neurosurgery, Harrison Spinartus Hospital Chungdam, Seoul, Republic of Korea.
  • Chough CK; Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.
  • Cho J; Department of Neurosurgery, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.
  • Kim HS; Department of Neurosurgery, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.
  • Jang JW; Department of Neurosurgery, Harrison Spinartus Hospital Chungdam, Seoul, Republic of Korea.
  • Park CK; Department of Neurosurgery, The Leon Wiltse Memorial Hospital, Spine Center, Suwon, Republic of Korea.
  • Lee CW; Department of Neurosurgery, The Leon Wiltse Memorial Hospital, Spine Center, Suwon, Republic of Korea.
  • Park MK; Department of Neurosurgery, Saehim Hospital, Seoul, Republic of Korea.
  • Son SK; Department of Neurosurgery, Good GangAn Hospital, Busan, Republic of Korea.
  • Park JY; Department of Neurosurgery, Good Moonhwa Hospital, Busan, Republic of Korea.
Sci Rep ; 14(1): 19853, 2024 08 27.
Article en En | MEDLINE | ID: mdl-39191792
ABSTRACT
Conventional open laminectomy has long been considered one of the important surgical options for lumbar central stenosis owing to its positive outcomes. However, newer approaches have emerged as alternatives, including full-endoscopic and biportal endoscopic laminectomy. Therefore, a comparison of the outcomes that are associated with each of these surgical methods is warranted. This prospective multicenter trial, initiated in February 2019, compared the outcomes of three lumbar central stenosis surgical approaches open laminectomy (OPEN), uniportal endoscopy (UNIPORT), and biportal endoscopy (BIPORT). Among 115 participants from seven centers, one-year follow-ups assessed laboratory, radiological, and clinical outcomes. Despite all groups showing adequate decompression and clinical improvement, the OPEN group exhibited less improvement in Visual analog scale (VAS) for back pain scores (p < 0.05) and significant postoperative increases in most laboratory markers. Furthermore, the OPEN group experienced a significant decrease in multifidus muscle cross-sectional area compared to endoscopic groups (p < 0.001). Each surgical techniques produced similar clinical outcomes and dural space expansion. However, endoscopic surgery was associated with better muscle preservation and better relief of back pain. Endoscopic surgery is a reasonable alternative to conventional laminectomy for treating lumbar central stenosis.This trial was registered on CRIS (Clinical Research Information Service, KCT0004355).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estenosis Espinal / Descompresión Quirúrgica / Endoscopía / Laminectomía / Vértebras Lumbares Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Sci Rep Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estenosis Espinal / Descompresión Quirúrgica / Endoscopía / Laminectomía / Vértebras Lumbares Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Sci Rep Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido