OBJECTIVE: Lumbar @entity612 is conventionally treated with surgical decompression. However, bilateral decompression and laminectomy is more invasive and may not be necessary for lumbar @entity850 @entity1 with @entity614 . We aimed to report the outcomes of unilateral laminectomy and bilateral pedicle screw fixation with fusion for @entity1 with @entity2649 and @entity614 . METHODS: @entity1 with @entity2649 with unilateral lower extremity @entity614 who received limited unilateral decompression and bilateral pedicle screw fixation were included and evaluated using visual analog scale (VAS) @entity158 and the @entity717 Index (ODI) scores preoperatively and at follow-up visits. Ligamentum flavum thickness of the involved segments was measured on axial magnetic resonance images. RESULTS: Twenty-five @entity1 were included. The mean preoperative VAS score was 6.6  1.6 and 4.6  3.1 for @entity615 , respectively. Ligamentum flavum thickness was comparable between the symptomatic and asymptomatic side (p=0.554). The mean follow-up duration was 29.2 months. The @entity158 in the symptomatic side lower extremity (VAS score, 1.32  1.2) and the back (VAS score, 1.75  1.73) significantly improved (p=0.000 vs. baseline for both). The ODI improved significantly postoperatively (6.60  6.5; p=0.000 vs. baseline). Significant improvement in @entity227 and ODI scores were observed in @entity1 receiving single or multi-segment decompression fusion with fixation (p<0.01). CONCLUSION: Limited laminectomy and unilateral spinal decompression followed by bilateral pedicle screw fixation with fusion achieves satisfactory outcomes in @entity1 with @entity612 and @entity614 . This procedure is less damaging to structures that are important for maintaining posterior stability of the spine.

Limited Unilateral Decompression and Pedicle Screw Fixation with Fusion for Lumbar Spinal Stenosis with XXXX : A Retrospective Analysis of 25 Cases.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity227 :: ('MESH:D014786', 'Disease') :: ['VAS pain'] @entity612 :: ('MESH:D013130', 'Disease') :: ['spinal stenosis'] @entity2649 :: ('MESH:C563613', 'Disease') :: ['lumbar spinal stenosis'] @entity615 :: ('MESH:D001416', 'Disease') :: ['leg and back pain'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity717 :: ('MESH:D009069', 'Disease') :: ['Oswestry Disability'] @entity850 :: ('MESH:D003251', 'Disease') :: ['stenosis'] @entity614 :: ('MESH:D011843', 'Disease') :: ['unilateral radiculopathy', 'radiculopathy']
@entity614 :: (MESH:D011843,Disease) :: ['Unilateral Radiculopathy']
