Outcome of modified interlaminar decompression: A conservative decompressive surgery for lumbar spine stenosis

Interlaminar Decompression in Lumbar Spinal Stenosis patients

  • Farooq Azam Department of Neurosurgery Medical and Teaching Institute, Lady Reading Hospital Peshawar, Pakistan
  • Seema Sharafat Department of Neurosurgery Medical and Teaching Institute, Lady Reading Hospital Peshawar, Pakistan
  • Zahid Khan Department of Neurosurgery MTI, Lady reading hospital Peshawar
  • Mumtaz Ali Department of Neurosurgery Medical and Teaching Institute, Lady Reading Hospital Peshawar, Pakistan
Keywords: Lumbar Spine, Lumbar Spinal Stenosis, Laminectomy, Lumbar Decompression, Lumbar Disc Herniation, Lumbar Fusion

Abstract

Objective: To evaluate the outcomes of modified interlaminar decompression in patients with degenerative lumbar spinal stenosis (LSS).

Methods: This descriptive observational study was conducted at the Department of Neurosurgery, Lady Reading Hospital Peshawar from July 2014 to June 2018. All patients with degenerative LSS who underwent modified interlaminar decompression during the study period were included in the study. The patients were followed up to one year after surgery. The data was entered into a structured questionnaire designed according to the study which was then analyzed using SPSS version 21.

Results: A total of 182 LSS cases were included in the study and 236 levels were operated during the study period. According to the records increased prevalence of LSS was found among males i.e. 58.8%. The common level with degenerative stenosis involved was L4-5. Good to excellent outcomes were observed in 93.9% patients in the 1st follow-up visit. The most common complication of surgery was dural tear followed by wound infection.

Conclusion: Modified interlaminar decompression is a conservative surgical technique, proved to be a potential approach with acceptable complications, satisfactory outcomes and it is easy to learn.

doi: https://doi.org/10.12669/pjms.36.4.1170

How to cite this:
Azam F, Sharafat S, Khan Z, Ali M. Outcome of modified interlaminar decompression: A conservative decompressive surgery for lumbar spine stenosis. Pak J Med Sci. 2020;36(4):663-667. doi: https://doi.org/10.12669/pjms.36.4.1170

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2020-05-13
How to Cite
Azam, F., Sharafat, S., Khan, Z., & Ali, M. (2020). Outcome of modified interlaminar decompression: A conservative decompressive surgery for lumbar spine stenosis. Pakistan Journal of Medical Sciences, 36(4). https://doi.org/10.12669/pjms.36.4.1170
Section
Original Articles