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J Neurosurg. 1994 Nov;81(5):699-706.

Outcome after laminectomy for lumbar spinal stenosis. Part I: Clinical correlations.

Author information

1
Section of Neurosurgery, University of Michigan Hospital, Ann Arbor.

Erratum in

  • J Neurosurg 1995 May;82(5):912.

Abstract

All patients who underwent decompressive lumbar laminectomy in the Washtenaw County, Michigan metropolitan area during a 7-year period were studied for the purpose of defining long-term outcome, clinical correlations, and the need for subsequent fusion. Outcome was determined by questionnaire and physical examination from a cohort of 119 patients with an average follow-up evaluation interval of 4.6 years. Patients graded their outcome as much improved (37%), somewhat improved (29%), unchanged (17%), somewhat worse (5%), and much worse (12%) compared to their condition before surgery. Poor outcome correlated with the need for additional surgery, but there were few additional significant correlations. No patient had a lumbar fusion during the study interval. The outcome after laminectomy was found to be less favorable than previously reported, based on a patient questionnaire administered to an unbiased patient population. Further randomized, controlled trials are therefore necessary to determine the efficacy of lumbar fusion as an adjunct to decompressive lumbar laminectomy.

PMID:
7755690
DOI:
10.3171/jns.1994.81.5.0699
[Indexed for MEDLINE]

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