Unilateral Laminotomy vs. Conventional Laminectomy: Which is Better for Degenerative Lumbar Spinal Stenosis? | [Pakistan Journal of Neurological Surgery • 2023]

Author(s):

1. Muhammad Jazib Ijaz: Department of Neurosurgeries,Holy Family Hospital Rawalpindi, Pakistan

2. Yasir Shehzad: Rawal Institute of Health Sciences Islamabad, Pakistan

3. Soban Sarwar Gondal: DHQ Hospital Rawalpindi, Pakistan

4. Muhammad Ammad-ul-Haq: Department of Neurosurgeries,Holy Family Hospital Rawalpindi, Pakistan

5. Fraz Mehmood: Department of Neurosurgeries,1Holy Family Hospital Rawalpindi, Pakistan

6. Nadeem Akhtar: DHQ Hospital Rawalpind, Pakistan

7. Eesha Yaqoob: Department of Public Health, Health Services Academy,Islamabad , Pakistan

8. Saad Javed: Department of Neurosurgeries,1Holy Family Hospital Rawalpindi, Pakistan

Abstract:

Objectives: To compare the outcomes of conventional laminectomy and unilateral laminotomy for lumbar spinal stenosis. Materials and Methods: The results of our research were compared between unilateral laminotomy (Group A) and conventional laminectomy (Group B) for lumbar spinal stenosis using a sample of 60 cases (30 in each group) selected through non-probability convenient sampling. We calculated the sample size using OPENEPI and analyzed the data with SPSS 26.0. For qualitative and quantitative data. Results: Mean age of participants was 49.7 years in both groups, The sample consisted of 37 male and 23 female participants made up the patient population. Dural tears (5%), progressive neurological deficit (0%), and surgical site infections (1%), among other postoperative complications, were all treated with antibiotics based on culture and sensitivity. Conclusion: Bilateral decompression via unilateral laminotomy is a less invasive alternative to conventional laminectomy for lumbar spinal stenosis, with significantly improved pain scores and minimized hospital stay. This technique offers appropriate decompression of neuronal components at the affected level with no increased risk of complications.

Page(s): 178-186

DOI: 10.36552/pjns.v27i2.855

Published: Journal: Pakistan Journal of Neurological Surgery, Volume: 27, Issue: 2, Year: 2023

Keywords:

Spinal stenosis , Unilateral Laminotomy , Degenerative , Conventional Laminectomy

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