Übersichtsarbeiten - OUP 12/2015
Monosegmentale, degenerativ erworbene Spinalkanalstenose Unilaterale Dekompression versus unilaterale Dekompression mit Undercutting der Gegenseite bei beidseitiger Symptomatik Unilateral decompression with contralateral undercutting versus unilateral decompression for symptomatic, bilateral spinal stenosis
In Zusammenschau aller Ergebnisse dieser Studie kann man zusammenfassen, dass beide Operationsmethoden eine suffiziente Dekompression mit hervorragenden klinischen Ergebnissen bezüglich Schmerzreduktion, Funktionsverbesserung und Patientenzufriedenheit bei LSS verzeichnen, allerdings mit Vorteilen zugunsten der unilateralen Laminotomie mit Undercutting. In Zukunft sollte das Ergebnis der Operationsverfahren monosegmentale unilaterale Dekompression und unilaterale Dekompression mit Undercutting der Gegenseite als mögliche Dekompressionsmethoden bei Spinalkanalstenose mit einem längeren Follow up und einem größeren Patientenkollektiv in einer dem Studien-Design entsprechenden prospektiven randomisierten Studie bestätigt werden.
Interessenkonflikt: Keine angegeben
Korrespondenzadresse
Prof. Dr. med. Stefan Endres
KKH Rheinfelden – Endoprothesenzentrum der Maximalversorgung
Am Vogelsang 4
79618 Rheinfelden
endres_s@freenet.de
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