Stable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal Stenosis

<i>Background and Objectives:</i> In recent literature, the routine addition of arthrodesis to decompression for lumbar spinal stenosis (LSS) with concomitant stable low-grade degenerative spondylolisthesis remains controversial. The purpose of this study is to compare the clinical outco...

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Autores principales:	Morsi Khashan, Khalil Salame, Dror Ofir, Zvi Lidar, Gilad J. Regev
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	decompression minimally invasive spinal stenosis spondylolisthesis Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/f5af844695ea4f9694b7d1b3ea4e602c
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spelling	oai:doaj.org-article:f5af844695ea4f9694b7d1b3ea4e602c2021-11-25T18:19:07ZStable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal Stenosis10.3390/medicina571112701648-91441010-660Xhttps://doaj.org/article/f5af844695ea4f9694b7d1b3ea4e602c2021-11-01T00:00:00Zhttps://www.mdpi.com/1648-9144/57/11/1270https://doaj.org/toc/1010-660Xhttps://doaj.org/toc/1648-9144<i>Background and Objectives:</i> In recent literature, the routine addition of arthrodesis to decompression for lumbar spinal stenosis (LSS) with concomitant stable low-grade degenerative spondylolisthesis remains controversial. The purpose of this study is to compare the clinical outcome, complication and re-operation rates following minimally invasive (MIS) tubular decompression without arthrodesis in patients suffering from LSS with or without concomitant stable low-grade degenerative spondylolisthesis. <i>Materials and Methods:</i> This study is a retrospective review of prospectively collected data. Ninety-six consecutive patients who underwent elective MIS lumbar decompression with a mean follow-up of 27.5 months were included in the study. The spondylolisthesis (S) group comprised 53 patients who suffered from LSS with stable degenerative spondylolisthesis, and the control (N) group included 43 patients suffering from LSS without spondylolisthesis. Outcome measures included complications and revision surgery rates. Pre- and post-operative visual analog scale (VAS) for both back and leg pain was analyzed, and the Oswestry Disability Index (ODI) was used to evaluate functional outcome. <i>Results:</i> The two groups were comparable in most demographic and preoperative variables. VAS for back and leg pain improved significantly following surgery in both groups. Both groups showed significant improvement in their ODI scores, at one and two years postoperatively. The average length of hospital stay was significantly higher in patients with spondylolisthesis (<i>p</i>-value< 0.01). There was no significant difference between the groups in terms of post-operative complications rates or re-operation rates. <i>Conclusions:</i> Our results indicate that MIS tubular decompression may be an effective and safe procedure for patients suffering from LSS, with or without degenerative stable spondylolisthesis.Morsi KhashanKhalil SalameDror OfirZvi LidarGilad J. RegevMDPI AGarticledecompressionminimally invasivespinal stenosisspondylolisthesisMedicine (General)R5-920ENMedicina, Vol 57, Iss 1270, p 1270 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	decompression minimally invasive spinal stenosis spondylolisthesis Medicine (General) R5-920
spellingShingle	decompression minimally invasive spinal stenosis spondylolisthesis Medicine (General) R5-920 Morsi Khashan Khalil Salame Dror Ofir Zvi Lidar Gilad J. Regev Stable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal Stenosis
description	<i>Background and Objectives:</i> In recent literature, the routine addition of arthrodesis to decompression for lumbar spinal stenosis (LSS) with concomitant stable low-grade degenerative spondylolisthesis remains controversial. The purpose of this study is to compare the clinical outcome, complication and re-operation rates following minimally invasive (MIS) tubular decompression without arthrodesis in patients suffering from LSS with or without concomitant stable low-grade degenerative spondylolisthesis. <i>Materials and Methods:</i> This study is a retrospective review of prospectively collected data. Ninety-six consecutive patients who underwent elective MIS lumbar decompression with a mean follow-up of 27.5 months were included in the study. The spondylolisthesis (S) group comprised 53 patients who suffered from LSS with stable degenerative spondylolisthesis, and the control (N) group included 43 patients suffering from LSS without spondylolisthesis. Outcome measures included complications and revision surgery rates. Pre- and post-operative visual analog scale (VAS) for both back and leg pain was analyzed, and the Oswestry Disability Index (ODI) was used to evaluate functional outcome. <i>Results:</i> The two groups were comparable in most demographic and preoperative variables. VAS for back and leg pain improved significantly following surgery in both groups. Both groups showed significant improvement in their ODI scores, at one and two years postoperatively. The average length of hospital stay was significantly higher in patients with spondylolisthesis (<i>p</i>-value< 0.01). There was no significant difference between the groups in terms of post-operative complications rates or re-operation rates. <i>Conclusions:</i> Our results indicate that MIS tubular decompression may be an effective and safe procedure for patients suffering from LSS, with or without degenerative stable spondylolisthesis.
format	article
author	Morsi Khashan Khalil Salame Dror Ofir Zvi Lidar Gilad J. Regev
author_facet	Morsi Khashan Khalil Salame Dror Ofir Zvi Lidar Gilad J. Regev
author_sort	Morsi Khashan
title	Stable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal Stenosis
title_short	Stable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal Stenosis
title_full	Stable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal Stenosis
title_fullStr	Stable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal Stenosis
title_full_unstemmed	Stable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal Stenosis
title_sort	stable low-grade degenerative spondylolisthesis does not compromise clinical outcome of minimally invasive tubular decompression in patients with spinal stenosis
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f5af844695ea4f9694b7d1b3ea4e602c
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Stable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal Stenosis

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