Publication: Comparison of tissue damages after traditional open decompression and biportal endoscopic decompression for lumbar spinal stenosis
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Issued Date
2019
Resource Type
File Type
application/pdf
ISSN
1252208
Other identifier(s)
2-s2.0-85070219194
Rights Holder(s)
Scopus
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol 102, No.7 (2019), p.35-40
Suggested Citation
Yingyong T., Jaroon J. Comparison of tissue damages after traditional open decompression and biportal endoscopic decompression for lumbar spinal stenosis. Journal of the Medical Association of Thailand. Vol 102, No.7 (2019), p.35-40. Retrieved from: https://hdl.handle.net/20.500.14740/5289
Author(s)
Abstract
Background: Posterior decompression has been the most common surgical procedure for lumbar spinal stenosis. Endoscopic decompression is a new surgical technique for spinal stenosis decompression. Subjective outcomes after the procedure, VAS and functional scores, were very satisfying but there were no reports published on the amount of tissue damage for this procedure. Objective: To evaluate the paravertebral muscles and soft tissue destruction between two methods of spinal decompression by muscle enzyme, CRP and size of muscle destruction. Materials and Methods: Study design. A cohort series of two groups of the patients, open decompression and BPED, who underwent spinal stenosis decompression were compared in postoperative outcomes such as modified Macnab criteria, VAS, CPK, and CRP. Results: The CRP and CPK level were significantly lower in BPED group than in open decompression group at 24 and 72 hours after surgery (p<0.05). Size of soft tissue destructions after BPED were 35+18 milliliters. Conclusion: Postoperative CPK and CRP level of BPED were statistically significant lower than conventional laminectomy. © Journal of the medical association of thailand| 2019.
Subject(s)
C reactive protein
Creatine kinase
Muscle enzyme
Aged
Article
Clinical article
Cohort analysis
Female
Follow up
Hospitalization
Human
Knee-chest position
Laminectomy
Ligamentum flavum
Male
Minimally invasive surgery
Open surgery
Paraspinal muscle
Patient satisfaction
Soft tissue injury
Spinal cord decompression
Surgical technique
Vertebral canal stenosis
Creatine kinase
Muscle enzyme
Aged
Article
Clinical article
Cohort analysis
Female
Follow up
Hospitalization
Human
Knee-chest position
Laminectomy
Ligamentum flavum
Male
Minimally invasive surgery
Open surgery
Paraspinal muscle
Patient satisfaction
Soft tissue injury
Spinal cord decompression
Surgical technique
Vertebral canal stenosis