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Orthopaedic Proceedings
Vol. 96-B, Issue SUPP_4 | Pages 33 - 33
1 Feb 2014
Gardner C Davies C Tandon V Smith R
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Introduction

Decompression is the gold standard surgical technique in patients with symptomatic spinal stenosis not responding to conservative management. We present an audit of outcomes in a population of patients undergoing this procedure over a four year period.

Method

All patients undergoing lumbar decompression were assessed preoperatively and between 4 and 12 months postoperatively using the Oswestry Disabilty Index (ODI %), pain scale (0–10) and patient satisfaction. The patient's age, the number of levels decompressed and the incidence of complications were recorded.


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXVI | Pages 26 - 26
1 Jun 2012
Bhutta MA Wilkinson J Cross C Tandon V Kapoor V Todd BD
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Introduction

Lumbar spinal pain can be a consequence of discogenic pain. After failure of conservative management, lumbar fusions are popular and considered the gold standard. However, these techniques are associated with significant morbidity.

A percutaneous trans-sacral technique may address these for L4/L5 and/or L5/S1 alone spinal fusions. Our unit has adopted this technique and presents our initial experience of 51 patients and preliminary results.

Method

Patients with a confirmed clinical and radiological evidence of degenerate intervertebral disc with or without prior surgical intervention were selected. Patients with a history of pelvic surgery/radiotherapy were excluded. Data was collected prospectively using the Global Patient Outcome Scoring System and Oswestry Disability Index (ODI) scores at clinical follow-up.