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Research Paper | Orthopaedic Surgery | Volume 12 Issue 2, February 2023 | Pages: 454 - 467 | India
Prospective Study of Clinical and Functional Outcome of Laminectomy in a Case of Lumbar Canal Stenosis in Adults
Abstract: Objective: This is prospective study to analyse the surgical management of patients with lumbar canal stenosis. Study focuses on-To assess the neurological and functional outcome of Laminectomy procedure done. Methods: Inclusion Criteria: Adult patient with back pain, sciatica, neurogenic claudication-Fresh MRI finding suggestive of lumbar canal stenosis-absolute stenosis (mid sagittal diameter of the canal 75%; good, 50- 75% improvement; fair, 25-50% improvement; and poor, below 25% improvement. At 1-year followup 46.6% patients showed excellent outcome, 46% showed good outcome, and 7.4% showed fair outcome. No patient had poor outcome. Outcome of the patients improved as the time after surgery increased till 1 year and was sustained thereafter till the last follow-up. Conclusion: This study was carried out in 30 patients to observe the efficiency of Decompressive Laminectomy in management of Lumbar canal stenosis. Surgical management of lumbar canal stenosis gives an excellent relief of symptoms and good functional outcome All patients had improved claudication distance post-operatively All patients had drastic improvement in straight leg raising post-operatively No correlation was found between gender and functional outcome No correlation was found between outcome and Obesity of patient. All patients had improved mobility decreasing their family burden. Operative treatment in patients of degenerative lumbar canal stenosis yields excellent results as observed on the basis of JOA scoring system. No patient got recurrence of symptoms of nerve compression.
Keywords: Laminectomy, Lumbar Canal Stenosis, Midline Decompression, Low Back Pain, Degenerative Spine Disease
How to Cite?: M. B Lingayat, Yogendra Agiwal, Ahmed Beary, "Prospective Study of Clinical and Functional Outcome of Laminectomy in a Case of Lumbar Canal Stenosis in Adults", Volume 12 Issue 2, February 2023, International Journal of Science and Research (IJSR), Pages: 454-467, https://www.ijsr.net/getabstract.php?paperid=SR23205121902, DOI: https://dx.doi.org/10.21275/SR23205121902