Should Stabilization be Added to Decompression in Lumbar Spinal Stenosis Surgery?

Authors : Aydoğan Tekin, Hasan Kamil Sucu, Hamit Güneş Feran, Ertan Sevin

Pages : 156-164

Doi:10.47572/muskutd.1450121

View : 15 | Download : 9

Publication Date : 2024-12-18

Article Type : Research Paper

Abstract :In the lumbar spinal stenosis surgery, the options of performing only decompression or adding stabilization to decompression have always been a matter of debate. We aimed to investigate the effect of adding stabilization to decompression on clinical outcomes in lumbar spinal stenosis surgery. Patients who underwent lumbar stenosis surgery with total laminectomy over six years were evaluated for clinical outcomes. Patient satisfaction was accepted as the primary success criterion. Patients who underwent reoperation were considered unsuccessful even if they stated that they were satisfied with the surgical results. A total of 73 patients were included in the study. Notably, patients who underwent stabilization of one or two spinal segments had more satisfying results than those without stabilization (p=0.0195). However, no significant differences in satisfaction were observed between patients with three or more stabilized segments and either the laminectomy-only group (p=1.0000) or the one-to-two segment stabilization group (p=0.0667). It was also determined that no dural injury during surgery (p=0.02148) increased success. Lumbar decompression with one- or two-level stabilization was found to have better satisfying results than the decompression-only group. However, considering that success decreases as the number of stabilized segments increases, the indication for stabilization should be carefully evaluated and maximum effort should be made to prevent unnecessary extension of the stabilized segment. Prospective studies with more extensive patient series will help investigate the effects of stabilization further.
Keywords : Dekompresyon, Laminektomi, Lomber Vertebra, Spinal Stenoz, Stabilizasyon