PMID- 26692698
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20151222
LR  - 20201001
IS  - 0974-8237 (Print)
IS  - 0976-9285 (Electronic)
IS  - 0974-8237 (Linking)
VI  - 6
IP  - 4
DP  - 2015 Oct-Dec
TI  - Enduring improvement in Oswestry Disability Index outcomes following lumbar 
      microscopic interlaminar decompression: An appraisal of prospectively collected 
      patient outcomes.
PG  - 195-9
LID - 10.4103/0974-8237.167881 [doi]
AB  - OBJECTIVES: Our present study aims to assess the short and long-term 
      postoperative outcome of microscopic interlaminar decompression from a 
      neurosurgical center in a developing country and also aims to further determine 
      any predictors of functional outcome. MATERIALS AND METHODS: All patients with 
      moderate to severe symptomatic stenosis undergoing elective posterior lumbar 
      spinal decompression were prospectively enrolled in a database. Preoperative, 2 
      weeks and 2 years postoperative Oswestry Disability Index (ODI) scores were 
      determined for all patients. These scores were retrospectively compared using 
      repeated measures analysis of variance. Further, linear regression modelling was 
      applied to determine the effect of preoperative ODI, body mass index, age, prior 
      physiotherapy, duration of symptoms, and single or multiple level decompression 
      on the change in ODI at 2 weeks and 2 years follow-up respectively. RESULTS: A 
      total of 60 consecutive patients (40 males, 20 females) were included for 
      statistical analysis. The percentage of patients with a minimum clinically 
      important difference (MCID), using an ODI threshold value of 10, was 86.7% (n = 
      52) at the 2 weeks postoperative follow-up. At the 2 years follow-up assessment, 
      3.3% (n = 2) patients who had earlier not achieved MCID did so, 78.3% (n = 47) of 
      patients were found to have a change in ODI score of <10 or no change, while 
      18.3% (n = 11) reported a deterioration in their ODI scores. The preoperative ODI 
      score was an independent predictor of change in ODI score at 2 weeks and 2 years 
      respectively (P < 0.0005). The duration of symptoms prior to surgery was found to 
      predict the change in ODI at 2 years follow-up (P = 0.04). CONCLUSION: The 
      evidence regarding the long-term and short-term efficacy of microscopic 
      interlaminar decompression in symptomatic lumbar stenosis is overwhelming. 
      Preoperative ODI scores and duration of symptoms prior to surgery can predict 
      postoperative outcomes.
FAU - Khan, Muhammad Babar
AU  - Khan MB
AD  - Department of Surgery, Section of Neurosurgery, Aga Khan University Hospital, 
      Karachi, Sindh, Pakistan.
FAU - Bashir, Muhammad Umair
AU  - Bashir MU
AD  - Department of Surgery, Section of Neurosurgery, Aga Khan University Hospital, 
      Karachi, Sindh, Pakistan.
FAU - Kumar, Rajesh
AU  - Kumar R
AD  - Department of Surgery, Section of Neurosurgery, Aga Khan University Hospital, 
      Karachi, Sindh, Pakistan.
FAU - Enam, Syed Ather
AU  - Enam SA
AD  - Department of Surgery, Section of Neurosurgery, Aga Khan University Hospital, 
      Karachi, Sindh, Pakistan.
LA  - eng
PT  - Journal Article
PL  - India
TA  - J Craniovertebr Junction Spine
JT  - Journal of craniovertebral junction & spine
JID - 101536746
PMC - PMC4660497
OTO - NOTNLM
OT  - Functional outcome
OT  - Oswestry Disability Index
OT  - interlaminar decompression
OT  - lumbar spinal stenosis
OT  - microscope
OT  - minimally invasive surgery
OT  - spinal decompression
EDAT- 2015/12/23 06:00
MHDA- 2015/12/23 06:01
PMCR- 2015/10/01
CRDT- 2015/12/23 06:00
PHST- 2015/12/23 06:00 [entrez]
PHST- 2015/12/23 06:00 [pubmed]
PHST- 2015/12/23 06:01 [medline]
PHST- 2015/10/01 00:00 [pmc-release]
AID - JCVJS-6-195 [pii]
AID - 10.4103/0974-8237.167881 [doi]
PST - ppublish
SO  - J Craniovertebr Junction Spine. 2015 Oct-Dec;6(4):195-9. doi: 
      10.4103/0974-8237.167881.