Laminotomy for lumbar spinal stenosis
HAYES, Inc
Record ID 32017000391
English
Authors' recommendations:
Symptomatic lumbar spinal stenosis is most often associated with neurogenic intermittent claudication, which is caused by structural narrowing of the spinal canal. Clinical symptoms include leg and back pain, muscular weakness, sensory disturbances,or difficulty walking. If lower back pain does not respond adequately to conservative treatments, surgery may be required.
Description of Technology: Laminotomy refers to partial removal of the lamina—a thin, bony layer that covers the back side of a vertebra and protects the spinal canal and the spinal cord. Unlike laminectomy, laminotomy preserves the midline structures and involves partial removal of the lamina, and may also involve some ligament removal. Since laminotomy preserves the natural support of the lamina, it is hypothesized that, compared with laminectomy, it may lower the incidence of complications, including postoperative spinal instability.
Patient Population: Laminotomy is intended for treatment of lumbar spinal stenosis in patients who have failed conservative treatments, and who do not have spinal segmental instability.
Clinical Alternatives: Conventional treatment for symptomatic lumbar stenosis refractory to conservative management is laminectomy. Other surgical options include procedures such as hemilaminectomy, foraminotomy, and facetectomy. In addition to or instead of these decompressive surgical procedures, patients may undergo surgical spinal fusion or placement of interspinous spacer devices.
Details
Project Status:
Completed
Year Published:
2017
URL for published report:
The report may be purchased from:
http://www.hayesinc.com/hayes/crd/?crd=11837
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
United States
MeSH Terms
- Back
- Decompression, Surgical
- Humans
- Laminectomy
- Lumbar Vertebrae
- Nervous System Diseases
- Spinal Stenosis
Contact
Organisation Name:
HAYES, Inc.
Contact Address:
157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218
Contact Name:
saleinfo@hayesinc.com
Contact Email:
saleinfo@hayesinc.com
Copyright:
Winifred S. Hayes, Inc
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.