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The results of decompression and instrumented fusion with pedicular screw plate system in degenerative lumbar scoliosis patients with spinal stenosis: a prospective observational study.
J Med Assoc Thai. 2010 Apr; 93(4):457-61.JM

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 64.87years (range, 50-87years) 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.

Authors+Show Affiliations

Keorochana G
Department of Orthopaedics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. gun_keo@yahoo.com
Tawonsawatruk T
No affiliation info available
Laohachareonsombat W
No affiliation info available
Wajanavisit W
No affiliation info available
Jaovisidha S
No affiliation info available

MeSH

AgedAged, 80 and overBone PlatesBone ScrewsCohort StudiesDecompression, SurgicalFemaleHumansLumbar VertebraeMaleMiddle AgedScoliosisSpinal FusionSpinal StenosisTreatment Outcome

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20462089

Citation

Keorochana, Gun, et al. "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 = Chotmaihet Thangphaet, vol. 93, no. 4, 2010, pp. 457-61.
Keorochana G, Tawonsawatruk T, Laohachareonsombat W, et al. The results of decompression and instrumented fusion with pedicular screw plate system in degenerative lumbar scoliosis patients with spinal stenosis: a prospective observational study. J Med Assoc Thai. 2010;93(4):457-61.
Keorochana, G., Tawonsawatruk, T., Laohachareonsombat, W., Wajanavisit, W., & Jaovisidha, S. (2010). 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 = Chotmaihet Thangphaet, 93(4), 457-61.
Keorochana G, et al. The Results of Decompression and Instrumented Fusion With Pedicular Screw Plate System in Degenerative Lumbar Scoliosis Patients With Spinal Stenosis: a Prospective Observational Study. J Med Assoc Thai. 2010;93(4):457-61. PubMed PMID: 20462089.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The results of decompression and instrumented fusion with pedicular screw plate system in degenerative lumbar scoliosis patients with spinal stenosis: a prospective observational study. AU - Keorochana,Gun, AU - Tawonsawatruk,Tulyapruek, AU - Laohachareonsombat,Wichien, AU - Wajanavisit,Wiwat, AU - Jaovisidha,Suphaneewan, PY - 2010/5/14/entrez PY - 2010/5/14/pubmed PY - 2010/7/23/medline SP - 457 EP - 61 JF - Journal of the Medical Association of Thailand = Chotmaihet thangphaet JO - J Med Assoc Thai VL - 93 IS - 4 N2 - 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 64.87years (range, 50-87years) 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. SN - 0125-2208 UR - https://www.unboundmedicine.com/medline/citation/20462089/The_results_of_decompression_and_instrumented_fusion_with_pedicular_screw_plate_system_in_degenerative_lumbar_scoliosis_patients_with_spinal_stenosis:_a_prospective_observational_study_ L2 - http://www.diseaseinfosearch.org/result/6465 DB - PRIME DP - Unbound Medicine ER -