Show simple item record

AuthorBitzenberger, Alexanderdc.contributor.author
Date of accession2016-03-15T09:06:19Zdc.date.accessioned
Available in OPARU since2016-03-15T09:06:19Zdc.date.available
Year of creation2011dc.date.created
AbstractIntroduction: Magnet-Resonance-Imaging reveals patients with stenosis predominantly caused by hypertrophy of the ligamentum flavum. In those cases exstensive bony decompression should be avoided. The interspinous approach should be assumed in combination with dorsal interspinous implants. The efficiency of this approach was prospectively analysed in our study. Patients and method: A microsurgical interspinous approach was performed in 27 patients (12 female, 15 male) in age of 48 to 80 years (average 67). Patients with spinal stenosis caused by trauma, infection or patients who had a spinal operation before were excluded. This approach was completed by resection of lig. flavum and osteophyts in cranio-caudal and lateral direction. In all patients an interspinous implant (CoflexR) was set. Follow-up examinations were performed 6 months later, including clinical, functional and radiological parameters. Results: There was a significant reduction of local back and leg pain (p < 0,0001) as well as a significant increase of walking distance (p < 0,0001). There were siginificant improvements (p < 0,0001) in the Oswestry Disability Index (ODI) and the Zurich Claudication Questionnaire (ZCQ). In radiological analysis (CT), the diameter of the intervertebral foramina was significantly enlarged (p < 0,001) and the height of the dorsal parts of the intervertebral disc was increased. Nevertheless, no parameter of the clinical and functional improvement was significantly correlated with radiological data. Midline dural injuries with emission of liquor occurred in 2 subjects. However, there was no clinical deterioration in these patients. Discussion: Pain relief and increase of walking distance as well as improvement of functional scores are the consequences of the procedure. The interspinosal spacer leads to radiological improvements, especially widening of the intervertebral foramina. Backpain relief after decompression is not common; this could be a positiv effect of the spacer.dc.description.abstract
Languagededc.language.iso
PublisherUniversität Ulmdc.publisher
LicenseStandarddc.rights
Link to license texthttps://oparu.uni-ulm.de/xmlui/license_v3dc.rights.uri
KeywordInterspinosaler Kraftträgerdc.subject
KeywordLumbale Spinalkanalstenosedc.subject
Dewey Decimal GroupDDC 610 / Medicine & healthdc.subject.ddc
MeSHSpinal canaldc.subject.mesh
TitleMikrochirurgische, interspinosale Dekompression mit Implantation eines dorsalen Kraftträgers zur Therapie der lumbalen Spinalkanalstenose: prospektive Analyse der Behandlungsergebnissedc.title
Resource typeDissertationdc.type
DOIhttp://dx.doi.org/10.18725/OPARU-2710dc.identifier.doi
PPN72558677Xdc.identifier.ppn
URNhttp://nbn-resolving.de/urn:nbn:de:bsz:289-vts-81068dc.identifier.urn
GNDDekompression <Medizin>dc.subject.gnd
GNDSchmerzdc.subject.gnd
GNDWirbelkanalstenosedc.subject.gnd
FacultyMedizinische Fakultätuulm.affiliationGeneral
Date of activation2012-07-23T07:58:52Zuulm.freischaltungVTS
Peer reviewneinuulm.peerReview
Shelfmark print versionW: W-H 12.968uulm.shelfmark
DCMI TypeTextuulm.typeDCMI
VTS-ID8106uulm.vtsID
CategoryPublikationenuulm.category
University Bibliographyjauulm.unibibliographie


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record