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《Journal of Bengbu Medical College》 2011-04
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Multi-level limited decompression by microendoscopic disectomy through posterior approach for treatment of lumbar spinal stenosis:a report of 18 cases

YANG De-shun,HANG Ming,WANG Kai-ming,LIAO Liang(Department of Orthopedics,Bengbu Third People′s Hospital,Bengbu Anhui 233000,China)  
Objective:To observe the clinical effect of multi-level limited decompression with microendoscopic disectomy through posterior approach on lumbar spinal stenosis.Methods:Eighteen patients with lumbar spinal stenosis were managed by multi-level limited decompression with microendoscopic disectomy.The preoperative Oswestry disability index(ODI) and visual analogue scale(VAS) were compared with the postoperative scores,and the clinical effects were reviewed and analyzed.Results:There was significant difference in preoperative ODI and VAS compared with the postoperative scores(P0.01).The follow-up lasted from 8 to 39 months.The evaluation by Nakai standard revealed that the outcome was excellent in 11 cases,good in 3 cases,fair in 3 cases and poor in 1 case.The rate of good results was 77.78%.Conclusions:Multi-level limited decompression by microendoscopic disectomy through posterior approach has the advantages of fewer traumas,less blood loss and better clinical outcome in treatment of lumbar spinal stenosis.
【Fund】: 安徽省蚌埠市科技局基金资助项目(200806)
【CateGory Index】: R687.3
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