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VOL. 7, ISSUE 10 (2021)
Corelation between extent of decompression radiologically and functional outcome in patients with lumbar canal stenosis-our experience at a teritiary care centre in central India
Authors
Gourav Jatav, U L Sandeep Varma, S V Rege, Alok Kumar
Abstract
Aim: To study the relation of decompression with clinical outcome in patients with Lumbar Spinal Stenosis and analyse the antero-posterior diameter, inter ligamentous diameter, height of lateral recess and, lateral recess angle preoperatively and postoperatively, on the basis of MRI Scan. Materials and methods: A total of 70 patients were included in this study. All patients included in the study were planned for MRI of the lumbar spine preoperatively. A subsequent MRI was done postoperatively at 1 week follow up. The MRI scan was performed on 18 channel 1.5 Tesla MRI system. Preoperative and Post operative measurement of antero-posterior spinal diameter, inter-ligamentous diameter, lateral recess height, lateral recess angle were taken. Clinical outcome was assessed at 1 week, 4 weeks and 3 months interval, with the help of Swiss Spinal Stenosis questionnaire. Result: Most of the patients who underwent surgery expressed relief of symptoms post operatively and were able to do their daily activities. Radiologically there is significant increase in Antero posterior diameter, inter facet diameter, lateral recess height and lateral recess angle when compared on pre and postop MRI imaging. Conclusion: In our study, surgical decompression was found to be effective in improving Antero posterior, inter ligamentous diameter, Lateral recess height and Lateral recess angle thereby suggesting that it successfully relieved the compression of neural elements in lumbar canal stenosis. This was also reflected in the marked improvement in the clinical outcome seen in the patients postoperatively.
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Pages:22-26
How to cite this article:
Gourav Jatav, U L Sandeep Varma, S V Rege, Alok Kumar "Corelation between extent of decompression radiologically and functional outcome in patients with lumbar canal stenosis-our experience at a teritiary care centre in central India ". International Journal of Medical and Health Research, Vol 7, Issue 10, 2021, Pages 22-26
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