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>Dugoročni rezultati i učinkovitost laminektomije sa spondilodezom u usporedbi s laminoplastikom u bolesnika s degenerativnom lumbalnom stenozom Long term results and efficacy of facet sparing laminectomy with fusion vs. Young laminoplasty for the treatment of degenerative spinal stanosis
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Dugoročni rezultati i učinkovitost laminektomije sa spondilodezom u usporedbi s laminoplastikom u bolesnika s degenerativnom lumbalnom stenozom Long term results and efficacy of facet sparing laminectomy with fusion vs. Young laminoplasty for the treatment of degenerative spinal stanosis
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机译：Dugoročnirezultatiiučinkovitostlaminektomijesa spondilodezom u usporedbi s laminoplastikom u bolesnika s degenerativnom lumbalnom stenozom 长期结果和疗效保留椎板切除融合术与年轻椎板成形术治疗退行性脊柱静脉炎
Laminectomy with fusion, traditional technique for lumbar decompression has been recently almost totally replaced with many less invasive surgical techniques allegedly equally effective. The aim of our study was comparison between long-term outcomes of Young laminoplasty (YL) as one of the less invasive techniques and facet sparing laminectomy with augmented posterolateral fusion (FSL). Patients with history of neurogenic claudication and lumbar stenosis (FSL and YL mean +/- SD dural sac area (mm2) 53,6±8,39 vs 54,1±10,11 ; t=0,179; P=0,859) were surgically treated from 4. Dezember 2000. to 11. March 2005. in general hospital Pula and in Clinical Medical Center Sisters of Charity, Traumatology Clinic. Instability and spondylolisthesis were exclusion criteria. Primary endpoints were to determine duration of surgery, blood loss, incision length and hospital stay. Secondary endpoints were to determine difference in the Oswestry Disability Index (ODI) and Prolo scale at 1-year and 8-year follow-up examinations. ud44 patients out of 56 patients were enrolled. Twenty- six patients were randomized in FSL (No=13) and YL (No=13) groups while 18 were allocated in observational FSL (No=13) and YL (No=5) cohorts. Using ODI scale significant improvement on 1-year and 8-year follow-up was noticed in FSL and YL groups. FSL ODI and YL ODI after one year follow up (24,22±1,892 28,01±1,945 respectively). FSL ODI was significantly better compared to YL at 8-year follow-up (27,82±1,918 vs 40,74±2,163). Using Prolo scale significant improvement on 1-year and 8-year follow-up was noticed in FSL and YL groups. FSL Prolo and YL Prolo after one year follow up. (8,90±0,72, 7,65±0,59 respectively). FSL Prolo was significantly better compared to YL Prolo score at 8-year follow-up (8,15±0,64, 6,38±0,53 respectively). udFacet sparing laminectomy with fusion is a more invasive and more expensive surgical technique than Young laminoplasty. Facet sparing laminectomy with fusion is in a short-term and in a long-term follow up more successful operative technique and that difference increases in time.
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机译：融合椎板切除术是一种传统的腰椎减压技术，近来几乎被许多据称同样有效的微创手术技术所取代。我们研究的目的是比较年轻的椎板成形术（YL）作为一种微创技术的长期结果与保留后外侧融合术（FSL）的保留小椎板切除术之间的比较。具有神经源性c行和腰椎狭窄病史（FSL和YL平均+/- SD硬膜囊面积（mm2）53,6±8,39 vs 54,1±10,11; t = 0,179; P = 0,859）的患者于2000年12月4日至2005年3月11日在普拉总医院和创伤医学诊所慈善医学临床中心姐妹中接受治疗。不稳定和腰椎滑脱是排除标准。主要终点是确定手术时间，失血量，切口长度和住院时间。次要终点是确定1年和8年随访检查时Oswestry残疾指数（ODI）和Prolo量表的差异。在56位患者中，有44位患者入选。 26名患者被随机分为FSL（No = 13）和YL（No = 13）组，而18名患者则分为观察性FSL（No = 13）和YL（No = 5）组。在FSL和YL组中，使用ODI量表在1年和8年随访中有显着改善。一年后进行FSL ODI和YL ODI随访（分别为24,22±1,892 28,01±1,945）。在8年的随访中，FSL ODI明显优于YL（27,82±1,918 vs 40,74±2,163）。在FSL和YL组中，使用Prolo量表在1年和8年随访中有显着改善。一年后进行FSL Prolo和YL Prolo的随访。 （分别为8,90±0,72、7,65±0,59）。在8年的随访中，FSL Prolo与YL Prolo得分相比明显更好（分别为8,15±0.64、6,38±0.53）。 udFacet保留椎板切除融合术是一种比Young椎板成形术更具侵入性，更昂贵的手术技术。在短期和长期随访中，保留融合的小平面椎板切除术是更成功的手术技术，而且这种差异会随着时间的推移而增加。
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