The Internet Journal of Minimally Invasive Spinal Technology™ ISSN: 1937-8254

The Internet Journal of Minimally Invasive Spinal Technology is the official online journal of ISMISS/SICOT (International Society of Minimally Invasive Spinal Surgery, affiliate of SICOT) and AAMISMS (American Academy of Minimally Invasive Spine Surgery and Medicine)

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A Novel Technigue Of Microsurgical Approach Trough Laminofacet Articular Junction For Foraminal Stenosis And Spondylolisthesis (Hole Aproaach) And Video Presentation

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Figen Yagmur Aslan

Citation: F. Aslan : A Novel Technigue Of Microsurgical Approach Trough Laminofacet Articular Junction For Foraminal Stenosis And Spondylolisthesis (Hole Aproaach) And Video Presentation. The Internet Journal of Minimally Invasive Spinal Technology. 2009 Supplement II - to IJMIST Vol III No 4

Abstract

Objectives: Hole approach on the foraminal stenosis and spondylolisthesis has not been described previously. In this study, we aim to give details and results of a new operation technique, used in 136 patients with foraminal stenosis and spondylolisthesis. Patients and Methods: Between March 2001 and 2007, 93 patients with foraminal stenosis and 43 patients with spondylolisthesis, who had conservative treatment before, were operated with hole approach. During operation a hole 0,5-1 cm was opened articular joint edge and conjunction between facet and lamina. At this approach minimally inferomedial edge of the superior facet and superomedial edge of the inferior facet were drilled away by Anspach. Facet capsule leave intact. By guidance of the disc space, the portions and osteofit anteriorly, and medial face of the facet posteriorly were cleaned. Inferior and superior root conjunctions were exposed and interapophyseal space was released. Any instrumentation system and fusion were not used. Patients data included; leg pain, paresthesia, and weakness, return time to daily activity and Oswestry pain score and final outcome. Patients were evaluated with post operative spiral CT and three dimensional reconstruction CT to show the amount of bone removing. Results: All patients were mobilized within 4-6 hr, discharged within 24-48 hr, sat down within 8-12 days, returned to daily activities and works within 15-25 days. Postoperative Oswestry pain score (3,4±1,7) was significantly decreased when compared with the preoperative pain scores (38,8±5,01) in the patients with foraminal stenosis (p<.001). Conclusion: Hole approach may be considered as a safe and effective a new procedure for the patients with foraminal stenosis and spondylolisthesis. This approach will be use multilevel segment and any instrumentation system were not used.

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	The Internet Journal of Minimally Invasive Spinal Technology™ ISSN: 1937-8254 \| Home \| Editors \| Current Issue \| Archives \| Instructions for Authors \| Disclaimer \| Share with others \| The Internet Journal of Minimally Invasive Spinal Technology is the official online journal of ISMISS/SICOT (International Society of Minimally Invasive Spinal Surgery, affiliate of SICOT) and AAMISMS (American Academy of Minimally Invasive Spine Surgery and Medicine) A Novel Technigue Of Microsurgical Approach Trough Laminofacet Articular Junction For Foraminal Stenosis And Spondylolisthesis (Hole Aproaach) And Video Presentation Read printer friendly Subscribe in a reader Share with others Figen Yagmur Aslan Citation: F. Aslan : A Novel Technigue Of Microsurgical Approach Trough Laminofacet Articular Junction For Foraminal Stenosis And Spondylolisthesis (Hole Aproaach) And Video Presentation. The Internet Journal of Minimally Invasive Spinal Technology. 2009 Supplement II - to IJMIST Vol III No 4 Abstract Objectives: Hole approach on the foraminal stenosis and spondylolisthesis has not been described previously. In this study, we aim to give details and results of a new operation technique, used in 136 patients with foraminal stenosis and spondylolisthesis. Patients and Methods: Between March 2001 and 2007, 93 patients with foraminal stenosis and 43 patients with spondylolisthesis, who had conservative treatment before, were operated with hole approach. During operation a hole 0,5-1 cm was opened articular joint edge and conjunction between facet and lamina. At this approach minimally inferomedial edge of the superior facet and superomedial edge of the inferior facet were drilled away by Anspach. Facet capsule leave intact. By guidance of the disc space, the portions and osteofit anteriorly, and medial face of the facet posteriorly were cleaned. Inferior and superior root conjunctions were exposed and interapophyseal space was released. Any instrumentation system and fusion were not used. Patients data included; leg pain, paresthesia, and weakness, return time to daily activity and Oswestry pain score and final outcome. Patients were evaluated with post operative spiral CT and three dimensional reconstruction CT to show the amount of bone removing. Results: All patients were mobilized within 4-6 hr, discharged within 24-48 hr, sat down within 8-12 days, returned to daily activities and works within 15-25 days. Postoperative Oswestry pain score (3,4±1,7) was significantly decreased when compared with the preoperative pain scores (38,8±5,01) in the patients with foraminal stenosis (p<.001). Conclusion: Hole approach may be considered as a safe and effective a new procedure for the patients with foraminal stenosis and spondylolisthesis. This approach will be use multilevel segment and any instrumentation system were not used. This article was last modified on Fri, 03 Jul 09 14:16:50 -0500 This page was generated on Sat, 20 Mar 10 10:00:24 -0500, and may be cached.
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