Unilateral microscopic approach for lumbar spinal stenosis decompression: a scoping review

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

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:32

Enthalten in:

European spine journal - 32(2022), 2 vom: 27. Nov., Seite 475-487

Sprache:

Englisch

Beteiligte Personen:

Moughal, Saad [VerfasserIn]
Quaye, Michael C. [VerfasserIn]
Wahab, Salima [VerfasserIn]
Hempenstall, Jonathan [VerfasserIn]
Griffith, Colin [VerfasserIn]
Harvey, Jason [VerfasserIn]
Giannoulis, Kyriakos [VerfasserIn]
McGillion, Stephen [VerfasserIn]
Shenouda, Emad [VerfasserIn]
Brooke, Nicholas [VerfasserIn]
Nader-Sepahi, Ali [VerfasserIn]
Dare, Christopher J. [VerfasserIn]
Shtaya, Anan [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Laminectomy
Laminotomy
Lumbar spinal stenosis
Microscopic
Outcome
Unilateral

RVK:

RVK Klassifikation

Anmerkungen:

© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1007/s00586-022-07461-y

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2133911782

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