Why the study?
The study aimed to compare the clinical results of three different surgical approaches for the treatment of lumbar spinal stenosis.
How do clinical outcomes compare among three different surgical approaches for lumbar spinal stenosis?
How do clinical outcomes compare among three different surgical approaches for lumbar spinal stenosis?
Answers are grounded in this paper and cite their sources.
All three surgical approaches for lumbar spinal stenosis significantly reduced pain, though more extensive procedures were associated with delayed mobilization and prolonged length of stay.
We aimed to compare the clinical results of three different surgical approaches (bilateral decompression via unilateral approach (BDUA), BDUA + fusion with unilateral instrumentation, total laminectomy and fusion with bilateral instrumentation) in the treatment of lumbar spinal stenosis. Materials and Methods: The clinical and surgical aspects of 51 surgically treated patients with lumbar spinal stenosis were retrospectively reviewed. Results: Duration of surgery, amount of bleeding, pain assessment visual analogue scale, length of stay (LOS), duration of mobilization, time required for return to work, complications and cost were analyzed. The mean postoperative low back VAS score was calculated to be 7.1 in group 1, 8.3 in group 2, and 8.6 in group 3. Significant decreases were found in the VAS scores of each group (p<0.005). In group 2 and group 3, delayed mobilization was the main cause of prolonged LOS.
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Kayalar et al. (2020) studied this question.
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