Unilateral microscopic approach for lumbar spinal stenosis decompression : a scoping review
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..
BACKGROUND: Microscopic unilateral laminotomy for bilateral decompression (ULBD) is a minimally invasive technique used in the treatment of lumbar spinal stenosis and could limit spinal instability and be associated with better clinical outcomes. However, there is ongoing debate regarding its utility compared to conventional laminectomy (CL). The primary objective was to collate and describe the current evidence base for ULBD, including perioperative parameters, functional outcomes, and complications. The secondary objective was to identify operative techniques.
METHODS: A scoping review was conducted between January 1990 and August 2022 according to the PRISMA extension for scoping reviews (PRISMA-ScR) guidelines. Major databases were searched for full text English articles reporting on outcomes following microscopic unilateral laminotomy in patients with lumbar spinal stenosis.
RESULTS: Seventeen articles met the inclusion criteria. Two studies were randomised controlled trials. Two studies were prospective data collection and the rest were retrospective analysis. Three studies compared ULBD with CL. ULBD preserves the osteoligamentous complex and may be associated with shorter operative time, less blood loss, and similar clinical outcomes when compared to CL.
CONCLUSION: This review highlights that ULBD aims to minimise disruption to the normal posterior spinal anatomy and may have acceptable clinical outcomes. It also highlights that it is difficult to draw valid conclusions given there are limited data available as most studies identified were retrospective or did not have a comparator group.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:32 |
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| Enthalten in: |
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society - 32(2023), 2 vom: 28. Feb., Seite 475-487 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Moughal, Saad [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Completed 16.02.2023 Date Revised 23.02.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00586-022-07461-y |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM349503389 |
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| 245 | 1 | 0 | |a Unilateral microscopic approach for lumbar spinal stenosis decompression |b a scoping review |
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| 520 | |a © 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. | ||
| 520 | |a BACKGROUND: Microscopic unilateral laminotomy for bilateral decompression (ULBD) is a minimally invasive technique used in the treatment of lumbar spinal stenosis and could limit spinal instability and be associated with better clinical outcomes. However, there is ongoing debate regarding its utility compared to conventional laminectomy (CL). The primary objective was to collate and describe the current evidence base for ULBD, including perioperative parameters, functional outcomes, and complications. The secondary objective was to identify operative techniques | ||
| 520 | |a METHODS: A scoping review was conducted between January 1990 and August 2022 according to the PRISMA extension for scoping reviews (PRISMA-ScR) guidelines. Major databases were searched for full text English articles reporting on outcomes following microscopic unilateral laminotomy in patients with lumbar spinal stenosis | ||
| 520 | |a RESULTS: Seventeen articles met the inclusion criteria. Two studies were randomised controlled trials. Two studies were prospective data collection and the rest were retrospective analysis. Three studies compared ULBD with CL. ULBD preserves the osteoligamentous complex and may be associated with shorter operative time, less blood loss, and similar clinical outcomes when compared to CL | ||
| 520 | |a CONCLUSION: This review highlights that ULBD aims to minimise disruption to the normal posterior spinal anatomy and may have acceptable clinical outcomes. It also highlights that it is difficult to draw valid conclusions given there are limited data available as most studies identified were retrospective or did not have a comparator group | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Laminectomy | |
| 650 | 4 | |a Laminotomy | |
| 650 | 4 | |a Lumbar spinal stenosis | |
| 650 | 4 | |a Microscopic | |
| 650 | 4 | |a Outcome | |
| 650 | 4 | |a Unilateral | |
| 700 | 1 | |a Quaye, Michael C |e verfasserin |4 aut | |
| 700 | 1 | |a Wahab, Salima |e verfasserin |4 aut | |
| 700 | 1 | |a Hempenstall, Jonathan |e verfasserin |4 aut | |
| 700 | 1 | |a Griffith, Colin |e verfasserin |4 aut | |
| 700 | 1 | |a Harvey, Jason |e verfasserin |4 aut | |
| 700 | 1 | |a Giannoulis, Kyriakos |e verfasserin |4 aut | |
| 700 | 1 | |a McGillion, Stephen |e verfasserin |4 aut | |
| 700 | 1 | |a Shenouda, Emad |e verfasserin |4 aut | |
| 700 | 1 | |a Brooke, Nicholas |e verfasserin |4 aut | |
| 700 | 1 | |a Nader-Sepahi, Ali |e verfasserin |4 aut | |
| 700 | 1 | |a Dare, Christopher J |e verfasserin |4 aut | |
| 700 | 1 | |a Shtaya, Anan |e verfasserin |4 aut | |
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