Fenestration versus Conventional Laminectomy with and without Transpedicular Fixation for Secondary Lumbar Canal Stenosis | ||||
| Zagazig University Medical Journal | ||||
| Article 20, Volume 31, Issue 6, June 2025, Page 2411-2423 PDF (1.15 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2025.375836.3909 | ||||
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| Authors | ||||
Amr AlBakry 1; Adel Saad Ismaeil2; Ahmed Abdallah Mohamed Amer  3; Ahmed Mohamed Ezzat4
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| 1Assistant Professor of Neurosurgery, Faculty of Medicine, Zagazig University | ||||
| 2Professor of Neurosurgery, Faculty of Medicine, Zagazig University | ||||
| 3MBBCH, Faculty of Medicine, Zagazig University | ||||
| 4Lecturer of Neurosurgery, Faculty of Medicine, Zagazig University | ||||
| Abstract | ||||
| Background: One of the most prevalent disorders among the elderly is spinal stenosis. It is described as the spinal canal narrowing. The first line therapy for lumbar canal stenosis (LCS) should be conservative ideally using a multimodal strategy. The current study aims to compare the radiological and clinical outcome of bilateral fenestration canal decompression and conventional laminectomy with or without fixation in secondary LCS. Methods: This clinical trial study was performed in Department of Neurosurgery, Faculty of Medicine, Zagazig University Hospitals. 21 cases in three groups each group includes 7 patients, (Group 1) Conventional Laminectomy without fixation, (Group 2) Conventional Laminectomy with fixation, and (Group 3) Bilateral fenestration. All patients were subjected to complete history taking, clinical examination, laboratory tests, and radiographical assessment. Results: There was substantial variance between groups concerning VAS low back and after 2 weeks and 3 months (P<0.01), within groups, there was remarkable variation (P<0.01). Regarding complications, there was no significant variance between groups respecting neurological deficit, dural tear, wound infection and epidural hematoma (P>0.05). There was significant variance between the studied groups regarding satisfaction scoring (p=0.03). Conclusion: Bilateral fenestration appears to be a highly effective and potentially superior technique for treating secondary lumbar canal stenosis, offering benefits in terms of operative parameters, clinical outcomes, and patient satisfaction. | ||||
| Keywords | ||||
| Fenestration; Conventional Laminectomy; Transpedicular Fixation; Secondary Lumbar Canal Stenosis | ||||
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