Our Summary

This research paper compares two types of surgery for a condition called lumbar stenosis, a narrowing of the space in the lower part of the spinal column. The two surgeries compared are minimally invasive spinal (MIS) decompression and open laminectomy with fusion.

The study looked at the long-term effects of these surgeries on patients’ pain and their need for pain-relieving medication. The findings were based on data from 95 patients who had one of these surgeries between 2009 and 2013.

The results showed that patients who had the open laminectomy with fusion surgery experienced more moderate-to-severe back pain compared to those who had the MIS decompression. The study also found that a higher percentage of patients from the laminectomy group reported persistent back and leg pain throughout the day and were more likely to rely on pain-relieving medication.

In conclusion, the researchers found that the MIS decompression surgery resulted in less long-term back pain and similar leg pain outcomes compared to the open laminectomy and fusion surgery.

FAQs

  1. What is lumbar stenosis and what are the surgical treatments compared in this research?
  2. According to the research, which surgery results in less long-term back pain for patients with lumbar stenosis?
  3. Did the study find any difference in the need for pain-relieving medication between patients who had MIS decompression and those who had open laminectomy with fusion surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about spinal decompression is that minimally invasive spinal decompression surgery may result in less long-term back pain and similar leg pain outcomes compared to open laminectomy with fusion surgery. It is important for patients to discuss with their doctor the best surgical option for their specific condition and to follow post-operative care instructions to optimize their recovery.

Suitable For

Patients with lumbar stenosis who are experiencing moderate-to-severe back pain and are looking for a less invasive surgical option may be recommended spinal decompression. These patients may also benefit from spinal decompression if they are looking to minimize the use of pain-relieving medication and improve their overall quality of life. It is important for patients to consult with their healthcare provider to determine if spinal decompression is the right treatment option for their specific condition and medical history.

Timeline

Here is a brief timeline of what a patient may experience before and after spinal decompression surgery:

Before surgery:

  • Patient may have been experiencing symptoms such as back pain, leg pain, numbness, tingling, or weakness in the legs.
  • Patient undergoes diagnostic tests such as MRI or CT scans to determine the cause and severity of their symptoms.
  • Patient may have tried conservative treatments such as physical therapy, medication, or injections without success.

During surgery:

  • Patient undergoes spinal decompression surgery, either minimally invasive or open laminectomy with fusion, to relieve pressure on the spinal nerves.
  • Surgeon removes part of the bone or disc causing compression on the nerves.
  • Surgery typically lasts 1-2 hours and is performed under general anesthesia.

After surgery:

  • Patient may experience some initial pain and discomfort at the surgical site.
  • Patient is usually able to go home the same day or the day after surgery.
  • Patient may need to wear a brace for support and follow post-operative instructions for wound care and activity restrictions.
  • Patient begins physical therapy to strengthen the muscles supporting the spine and improve mobility.
  • Patient gradually resumes normal activities and may experience a decrease in symptoms such as pain, numbness, or weakness over time.

Overall, spinal decompression surgery can provide relief for patients suffering from spinal stenosis and improve their quality of life by reducing pain and improving mobility.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with spinal decompression surgery?
  2. How long is the recovery period after spinal decompression surgery?
  3. Will I need physical therapy or other rehabilitation after the surgery?
  4. What are the success rates of spinal decompression surgery for my specific condition?
  5. Are there any alternative treatments or therapies that I should consider before opting for surgery?
  6. How long do the effects of spinal decompression surgery typically last?
  7. Will I need to make any lifestyle changes or modifications after the surgery?
  8. Are there any restrictions on physical activity or exercise following spinal decompression surgery?
  9. How often will I need to follow up with you after the surgery?
  10. What can I expect in terms of pain management and medication post-surgery?

Reference

Authors: Regev GJ, Leor G, Ankori R, Hochberg U, Ofir D, Khashan M, Kedem R, Lidar Z, Salame K. Journal: Medicina (Kaunas). 2021 Oct 18;57(10):1125. doi: 10.3390/medicina57101125. PMID: 34684162