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Concomitant noncontiguous level (thoracic & lumbar) spinal stenosis

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Abstract

Presented here is a prospective study assessing the efficacy of decompression of concomitant noncontiguous level (thoracic & lumbar) stenosis in accordance with neurological findings, nerve root blocks, and myelographically proven disease. The objective was to determine the efficacy, clinical outcome, and functional recovery in patients undergoing simultaneous decompression. No previous study has focussed on the clinical outcome of such simultaneous decompression. Twenty-one patients with neurological claudication, progressive gait disturbance, upper motor neuron symptoms, and findings of myelopathy in both the lower extremities underwent simultaneous decompression and were assessed. The average follow-up was 32 months (range, 24–40 months). At the last examination,13 patients (82%) had excellent or good clinical results. Postoperative improvement correlated inversely with the duration of symptoms. The patients usually had satisfactory outcomes when the correct diagnosis was made and management was implemented. Functional recovery depends on early diagnosis and timely surgical intervention.

Résumé

Une étude prospective permettant d’évaluer l’efficacité de la décompression concomitante pour canal lombaire étroit au niveau thoracique & lombaire à différents étages, avec signes neurologiques, a été réalisée. L’objectif était de déterminer l’efficacité et le devenir clinique et fonctionnel après cette décompression. Aucune étude de la littérature n’a analysé le devenir clinique pour de telles décompressions simultanées. 21 patients avec une claudication intermittente neurologique et une diminution du périmètre de marche avec douleur radiculaire et des signes de myélopathie au niveau des deux membres inférieurs ont bénéficié d’une telle décompression simultanée. le suivi moyen a été de 32 mois (de 24 à 40 mois). Au dernier examen, 13 patients (82%) avaient un excellent ou bon résultat. La récupération post-opératoire est inversement proportionnelle à la durée de la symptomatologie. les patients ont eu un résultat satisfaisant, le diagnostic et le traitement ont été réalisés de façon correcte avec une bonne récupération fonctionnelle qui est dépendante d’un diagnostic précoce et de l’algorithme chirurgical.

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Authors and Affiliations

  1. V S Hospital, Spine, Ahmedabad, India

    Ankur Gupta, Bharat Dave, Ankur Nanda & Hitesh Modi

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  1. Ankur Gupta
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  2. Bharat Dave
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  3. Ankur Nanda
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  4. Hitesh Modi
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Correspondence to Ankur Gupta.

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Gupta, A., Dave, B., Nanda, A. et al. Concomitant noncontiguous level (thoracic & lumbar) spinal stenosis. International Orthopaedics (SICOT) 33, 483–488 (2009). https://doi.org/10.1007/s00264-008-0545-8

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  • DOI: https://doi.org/10.1007/s00264-008-0545-8

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