Lumbar Canal Stenosis: Pre and Post Decompression laminectomy Outcomes in a Single Neurosurgery Private Practice

Satheesh Kumar Cheella Reddy

doi:doi:10.11648/j.ijn.20210502.14

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Lumbar Canal Stenosis: Pre and Post Decompression laminectomy Outcomes in a Single Neurosurgery Private Practice

Satheesh Kumar Cheella Reddy

Published in International Journal of Neurosurgery (Volume 5, Issue 2)

Received: 30 August 2021 Accepted: 26 September 2021 Published: 5 October 2021

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Abstract

Lumbar canal stenosis (LCS) or Lumbar Spinal Stenosis (LSS) is the most common degenerative condition affecting older adults. The clinical presentation of LCS includes lower back pain, radiating pain, tingling sensation, and numbness in the lower limbs, as well as nocturnal leg cramps, and bladder dysfunction due to neurological compression. Laminectomy is one of the most common procedures performed for the treatment of LCS. This study aimed to examine the pre-surgical presentations and post-surgical outcomes based on the available clinical records from a single neurosurgeon private practice based in Melbourne, Victoria, Australia. The clinical records of 166 patients were extracted and reviewed for clinical presentation notes, surgical notes, post-surgery follow-up letters between 2010 and 2019. Records without follow-up notes were excluded. The presurgical presentation symptoms included lower back pain, weakness, neurogenic claudication, pins and needles, and sensory and motor deficits. Post-surgical outcomes were evaluated based on the 1-month, 3-month, and 1-year follow up based on the notes and letters. Many patients mentioned significant improvement in symptoms immediately after the decompressive laminectomy. Descriptive analysis was performed; the results have been presented as percentages and charts. Post- laminectomy results reported that 87% improvement in back pain and 85% people reported improvements in neurogenic claudication. This study suggested that decompressive laminectomy was effective in the management of LCS. However, further studies are required due to the limitations, such as small population size, data availability, multiple re-presentations, and lack of proper follow-up.

Published in	International Journal of Neurosurgery (Volume 5, Issue 2)
DOI	10.11648/j.ijn.20210502.14
Page(s)	70-74
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Back Pain, Neurogenic Claudication, Neurosurgery, Laminectomy

References

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[3]	Katz J. N., Harris M. B.: Clinical practice. Lumbar spinal stenosis. New England Journal of Medicine 2008; 358: pp. 818-825.
[4]	Bydon M, Macki M, Abt NB, Sciubba DM, Wolinsky JP, Witham TF, et al. Clinical and surgical outcomes after lumbar laminectomy: An analysis of 500 patients. Surg Neurol Int 2015; 6: S190-3.
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[7]	Smith AG. Account of a case in which portions of three dorsal vertebrae were removed for the relief of paralysis from fracture, with partial success. North American Medical and Surgical Journal 1829; 8: 94–7.
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[10]	Zaina F, Tomkins-Lane C, Carragee E, Negrini S. Surgical versus non-surgical treatment for lumbar spinal stenosis. Cochrane Database Syst Rev. 2016 Jan 29; 2016 (1): CD010264. doi: 10.1002/14651858.CD010264.pub2. PMID: 26824399; PMCID: PMC6669253.
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[13]	Armon C., Argoff C E., Samels J., et. al.: Assessment: Use of epidural steroid injections to treat radicular lumbosacral pain: Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2007; 68: pp. 723-729.
[14]	Ghogawala Z., Dziura J., Butler W., et. al.: Laminectomy plus fusion versus laminectomy alone for lumbar spondylolisthesis. New England Journal of Medicine 2016; 374: pp. 1424-1434.
[15]	Katz JN, Lipson SJ, Larson MG, McInnes JM, Fossel AH, Liang MH. The outcome of decompressive laminectomy for degenerative lumbar stenosis. J Bone Joint Surg Am 1991; 73: 809-16.
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Satheesh Kumar Cheella Reddy. (2021). Lumbar Canal Stenosis: Pre and Post Decompression laminectomy Outcomes in a Single Neurosurgery Private Practice. International Journal of Neurosurgery, 5(2), 70-74. https://doi.org/10.11648/j.ijn.20210502.14

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Satheesh Kumar Cheella Reddy. Lumbar Canal Stenosis: Pre and Post Decompression laminectomy Outcomes in a Single Neurosurgery Private Practice. Int. J. Neurosurg. 2021, 5(2), 70-74. doi: 10.11648/j.ijn.20210502.14

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AMA Style

Satheesh Kumar Cheella Reddy. Lumbar Canal Stenosis: Pre and Post Decompression laminectomy Outcomes in a Single Neurosurgery Private Practice. Int J Neurosurg. 2021;5(2):70-74. doi: 10.11648/j.ijn.20210502.14

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@article{10.11648/j.ijn.20210502.14,
  author = {Satheesh Kumar Cheella Reddy},
  title = {Lumbar Canal Stenosis: Pre and Post Decompression laminectomy Outcomes in a Single Neurosurgery Private Practice},
  journal = {International Journal of Neurosurgery},
  volume = {5},
  number = {2},
  pages = {70-74},
  doi = {10.11648/j.ijn.20210502.14},
  url = {https://doi.org/10.11648/j.ijn.20210502.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20210502.14},
  abstract = {Lumbar canal stenosis (LCS) or Lumbar Spinal Stenosis (LSS) is the most common degenerative condition affecting older adults. The clinical presentation of LCS includes lower back pain, radiating pain, tingling sensation, and numbness in the lower limbs, as well as nocturnal leg cramps, and bladder dysfunction due to neurological compression. Laminectomy is one of the most common procedures performed for the treatment of LCS. This study aimed to examine the pre-surgical presentations and post-surgical outcomes based on the available clinical records from a single neurosurgeon private practice based in Melbourne, Victoria, Australia. The clinical records of 166 patients were extracted and reviewed for clinical presentation notes, surgical notes, post-surgery follow-up letters between 2010 and 2019. Records without follow-up notes were excluded. The presurgical presentation symptoms included lower back pain, weakness, neurogenic claudication, pins and needles, and sensory and motor deficits. Post-surgical outcomes were evaluated based on the 1-month, 3-month, and 1-year follow up based on the notes and letters. Many patients mentioned significant improvement in symptoms immediately after the decompressive laminectomy. Descriptive analysis was performed; the results have been presented as percentages and charts. Post- laminectomy results reported that 87% improvement in back pain and 85% people reported improvements in neurogenic claudication. This study suggested that decompressive laminectomy was effective in the management of LCS. However, further studies are required due to the limitations, such as small population size, data availability, multiple re-presentations, and lack of proper follow-up.},
 year = {2021}
}

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TY - JOUR
T1 - Lumbar Canal Stenosis: Pre and Post Decompression laminectomy Outcomes in a Single Neurosurgery Private Practice
AU - Satheesh Kumar Cheella Reddy
Y1 - 2021/10/05
PY - 2021
N1 - https://doi.org/10.11648/j.ijn.20210502.14
DO - 10.11648/j.ijn.20210502.14
T2 - International Journal of Neurosurgery
JF - International Journal of Neurosurgery
JO - International Journal of Neurosurgery
SP - 70
EP - 74
PB - Science Publishing Group
SN - 2640-1959
UR - https://doi.org/10.11648/j.ijn.20210502.14
AB - Lumbar canal stenosis (LCS) or Lumbar Spinal Stenosis (LSS) is the most common degenerative condition affecting older adults. The clinical presentation of LCS includes lower back pain, radiating pain, tingling sensation, and numbness in the lower limbs, as well as nocturnal leg cramps, and bladder dysfunction due to neurological compression. Laminectomy is one of the most common procedures performed for the treatment of LCS. This study aimed to examine the pre-surgical presentations and post-surgical outcomes based on the available clinical records from a single neurosurgeon private practice based in Melbourne, Victoria, Australia. The clinical records of 166 patients were extracted and reviewed for clinical presentation notes, surgical notes, post-surgery follow-up letters between 2010 and 2019. Records without follow-up notes were excluded. The presurgical presentation symptoms included lower back pain, weakness, neurogenic claudication, pins and needles, and sensory and motor deficits. Post-surgical outcomes were evaluated based on the 1-month, 3-month, and 1-year follow up based on the notes and letters. Many patients mentioned significant improvement in symptoms immediately after the decompressive laminectomy. Descriptive analysis was performed; the results have been presented as percentages and charts. Post- laminectomy results reported that 87% improvement in back pain and 85% people reported improvements in neurogenic claudication. This study suggested that decompressive laminectomy was effective in the management of LCS. However, further studies are required due to the limitations, such as small population size, data availability, multiple re-presentations, and lack of proper follow-up.
VL - 5
IS - 2
ER -

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Satheesh Kumar Cheella Reddy

Human Movement, Oceania University of Medicine, Apia, Samoa

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Plain Text BibTeX RIS

APA Style

Satheesh Kumar Cheella Reddy. (2021). Lumbar Canal Stenosis: Pre and Post Decompression laminectomy Outcomes in a Single Neurosurgery Private Practice. International Journal of Neurosurgery, 5(2), 70-74. https://doi.org/10.11648/j.ijn.20210502.14

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ACS Style

Satheesh Kumar Cheella Reddy. Lumbar Canal Stenosis: Pre and Post Decompression laminectomy Outcomes in a Single Neurosurgery Private Practice. Int. J. Neurosurg. 2021, 5(2), 70-74. doi: 10.11648/j.ijn.20210502.14

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AMA Style

Satheesh Kumar Cheella Reddy. Lumbar Canal Stenosis: Pre and Post Decompression laminectomy Outcomes in a Single Neurosurgery Private Practice. Int J Neurosurg. 2021;5(2):70-74. doi: 10.11648/j.ijn.20210502.14

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@article{10.11648/j.ijn.20210502.14,
  author = {Satheesh Kumar Cheella Reddy},
  title = {Lumbar Canal Stenosis: Pre and Post Decompression laminectomy Outcomes in a Single Neurosurgery Private Practice},
  journal = {International Journal of Neurosurgery},
  volume = {5},
  number = {2},
  pages = {70-74},
  doi = {10.11648/j.ijn.20210502.14},
  url = {https://doi.org/10.11648/j.ijn.20210502.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20210502.14},
  abstract = {Lumbar canal stenosis (LCS) or Lumbar Spinal Stenosis (LSS) is the most common degenerative condition affecting older adults. The clinical presentation of LCS includes lower back pain, radiating pain, tingling sensation, and numbness in the lower limbs, as well as nocturnal leg cramps, and bladder dysfunction due to neurological compression. Laminectomy is one of the most common procedures performed for the treatment of LCS. This study aimed to examine the pre-surgical presentations and post-surgical outcomes based on the available clinical records from a single neurosurgeon private practice based in Melbourne, Victoria, Australia. The clinical records of 166 patients were extracted and reviewed for clinical presentation notes, surgical notes, post-surgery follow-up letters between 2010 and 2019. Records without follow-up notes were excluded. The presurgical presentation symptoms included lower back pain, weakness, neurogenic claudication, pins and needles, and sensory and motor deficits. Post-surgical outcomes were evaluated based on the 1-month, 3-month, and 1-year follow up based on the notes and letters. Many patients mentioned significant improvement in symptoms immediately after the decompressive laminectomy. Descriptive analysis was performed; the results have been presented as percentages and charts. Post- laminectomy results reported that 87% improvement in back pain and 85% people reported improvements in neurogenic claudication. This study suggested that decompressive laminectomy was effective in the management of LCS. However, further studies are required due to the limitations, such as small population size, data availability, multiple re-presentations, and lack of proper follow-up.},
 year = {2021}
}

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