Publication: The results of decompression and instrumented fusion with pedicular screw plate system in degenerative lumbar scoliosis patients with spinal stenosis: A prospective observational study
Issued Date
2010-04-01
Resource Type
ISSN
01252208
01252208
01252208
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2-s2.0-77951921010
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.93, No.4 (2010), 457-461
Suggested Citation
Gun Keorochana, Tulyapruek Tawonsawatruk, Wichien Laohachareonsombat, Wiwat Wajanavisit, Suphaneewan Jaovisidha The results of decompression and instrumented fusion with pedicular screw plate system in degenerative lumbar scoliosis patients with spinal stenosis: A prospective observational study. Journal of the Medical Association of Thailand. Vol.93, No.4 (2010), 457-461. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/29709
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Title
The results of decompression and instrumented fusion with pedicular screw plate system in degenerative lumbar scoliosis patients with spinal stenosis: A prospective observational study
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Abstract
Objective: To study pain relief, curve correction, and functional outcomes after decompression and instrumented arthrodesis in degenerative lumbar scoliosis patients with spinal stenosis. Material and Method: Thirty-one degenerative scoliosis patients with symptom of spinal stenosis who underwent decompression and fusion with pedicular screw plate instrumentation and completed at least 2-year follow-up were included in this study. Functional outcomes were obtained using Oswestry Disability Index (ODI) and Roland Morris score. The VAS pain relief, walking ability, and curve correction were collected as a result of the surgery. Results: Average age of the patients at the time of surgery was 64.87 years (range, 50-87 years) and mean follow-up was 32 months (range, 24-60 months). There was significant improvement in all outcome parameters including pain scales, walking ability, ODI, and Roland Morris score (p < 0.05) Five patients had major complications with two cases requiring re-operation. Conclusion: Degenerative scoliosis with spinal stenosis is a complex spinal disease that requires decompression and stabilization procedures. Wide decompressive laminectomy and instrumented arthrodesis with pedicular screw plate system provided satisfied outcome included pain relief and functional restoration.