Management of Lumbar Spinal Stenosis by Laminectomy Experience with 80 Patients
Keywords:
Lumber Spinal Stenosis, Decompression LaminectomyAbstract
Objectives: To study the clinical results and complications of patients with lumbar spinal stenosis managed surgically by single or two level laminectomy.
Study design: Retrospective study.
Materials and methods: This study was conducted in Neurosurgery Department of Lady Reading Hospital and Hayatabad Medical Complex Hospital, Peshawar from Jan, 2005 to December, 2007 with 06 months follow up. Total number of patients were 80. Data was collected with the help of performa containing name, age, sex of patients along-with signs symptoms, investigations, complications and follow up findings. Patients of both gender operated for the first time for lumbar spinal stenosis were included in the study Patients below 50 years, patients with spinal stenosis of more then 2 level, patients with spondylolisthesis and patients above 75 years were excluded from the study.
Results: Out of 80 patients 46 (57.5%) were male and 34 (42.5%) were female. 49 patients had single level laminectomy and 31 patients with two level laminectomies. 85% patients showed clinical improvement in pain and claudication, 6 patients had dural tear during surgery, one patient had CSF leak, 3 patients had superficial wound infection and 4 patients had urinary retention.
Conclusion: Laminectomy for lumbar spinal stenosis appears to be effective procedure in which better overall outcome and improvement in claudication, lower limbs pain and low backache can be achieved, improving health related quality of life.
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