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The Archives of Bone and Joint Surgery، جلد ۱۲، شماره ۱۱، صفحات ۷۷۹-۷۸۸
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Indirect Decompression in Lumbar Degenerative Pathology: Analysis of Imaging Changes at 48 Hours with One-year Follow-up
چکیده انگلیسی مقاله Objectives: Investigate the immediate resonance magnetic image changes undergone by the lumbar canal after indirect decompression and compare them at one-year post-intervention. We also investigate the clinical outcome of indirect decompression at one-year follow-up.Methods: Imaging changes in patients who underwent indirect lumbar decompression and percutaneous posterior fixation were analyzed with one-year follow-up. Radiographic measurements were performed preoperatively and postoperatively (at one year), and the area of lumbar canal occupation and yellow ligament by nuclear magnetic resonance was compared preoperatively, at 48 hours post-surgery, and at one year. Radiographic measurements included disc height, foraminal height, total lumbar lordosis, and segmental lordosis. The VAS lumbar and lower limb scales and the Oswestry Disability Index (ODI) were used to assess clinical outcomes.Results: A total of 21 male and 23 female patients underwent indirect decompression at 64 lumbar levels. A significant improvement was observed in the clinical evaluation of all patients’ post-surgery (p < 0.001) in all radiographic parameters. There was an immediate increase in the lumbar canal at 48 hours (p < 0.001), which continued to increase at one year post-intervention (p < 0.05). The yellow ligament occupation area decreased at 48 hours (p < 0.001) and continued to decrease until one year (p < 0.01). Four complications were recorded, one of which was a posterior tract infection requiring open decompression.Conclusion: Indirect decompression for degenerative lumbar disease provided successful clinical outcomes, including indirect expansion of the dural sac at 48 hours post-procedure, with progressive increase in the lumbar canal area at one-year follow-up. Level of evidence: III
کلیدواژه‌های انگلیسی مقاله Degenerative spine disorders, ligamentotaxis, lumbar region, magnetic resonance imaging, Minimally invasive
نویسندگان مقاله | Matias Cullari
Orthopedic Surgery British Hospital of Buenos Aires, Buenos Aires, Argentina


| Juan Taleb
Orthopedic Surgery British Hospital of Buenos Aires, Buenos Aires, Argentina


| Lucio Gutierrez
Orthopedic Surgery British Hospital of Buenos Aires, Buenos Aires, Argentina


| Facundo Aguirre
Orthopedic Surgery British Hospital of Buenos Aires, Buenos Aires, Argentina


| Santiago Aguer
Orthopedic Surgery British Hospital of Buenos Aires, Buenos Aires, Argentina


| Ruy Lloyd
Orthopedic Surgery British Hospital of Buenos Aires, Buenos Aires, Argentina


| Glenda Ernst
Scientific Advisory Board, Hospital Británico de Buenos Aires, Buenos Aires, Argentina
نشانی اینترنتی https://abjs.mums.ac.ir/article_24900.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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