caa a22 4500 445831383 CHVBK 20180317145316.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00586-010-1597-1 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1597-1 Clinical outcomes of microscopic decompression for degenerative lumbar foraminal stenosis: a comparison between patients with and without degenerative lumbar scoliosis [Elektronische Daten] [Kentaro Yamada, Hideki Matsuda, Masaharu Nabeta, Hiroshi Habunaga, Akinobu Suzuki, Hiroaki Nakamura] We performed microscopic lumbar foraminotomy in all the patients diagnosed with degenerative lumbar foraminal stenosis (DLFS) and retrospectively reviewed the clinical outcomes and the factors influencing them. The preoperative Japanese Orthopaedic Association (JOA) score of 13.8 significantly improved to 21.9 postoperatively. Although leg pain reduced in 44 patients (95.7%) immediately after surgery, it recurred in 9 patients (19.6%). The recurrence frequency was significantly higher and the JOA score improvement ratios significantly lower in patients with degenerative lumbar scoliosis (DLS) than in those without DLS. Even among patients with DLS, those with <3° Cobb angle difference between the supine and standing positions showed satisfactory results, with no recurrence. In conclusion, microscopic lumbar foraminotomy for DLFS produced satisfactory clinical outcomes even in patients with DLS. However, the outcomes were poor in patients with unstable DLS. Springer-Verlag, 2010 Degenerative lumbar scoliosis nationallicence Foraminal stenosis nationallicence Microsurgical decompression nationallicence Less-invasive surgery nationallicence Yamada Kentaro Department of Orthopaedic Surgery, Ishikiriseiki Hospital, 18-28, Yayoi-cho, Higashiosaka, Osaka, Japan aut Matsuda Hideki Department of Orthopaedic Surgery, Ishikiriseiki Hospital, 18-28, Yayoi-cho, Higashiosaka, Osaka, Japan aut Nabeta Masaharu Department of Orthopaedic Surgery, Ikeda Hospital, Higashiosaka, Japan aut Habunaga Hiroshi Department of Orthopaedic Surgery, Ishikiriseiki Hospital, 18-28, Yayoi-cho, Higashiosaka, Osaka, Japan aut Suzuki Akinobu Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan aut Nakamura Hiroaki Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan aut European Spine Journal Springer-Verlag 20/6(2011-06-01), 947-953 0940-6719 20:6<947 2011 20 586 https://doi.org/10.1007/s00586-010-1597-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1597-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yamada Kentaro Department of Orthopaedic Surgery, Ishikiriseiki Hospital, 18-28, Yayoi-cho, Higashiosaka, Osaka, Japan aut NATIONALLICENCE 700 1- Matsuda Hideki Department of Orthopaedic Surgery, Ishikiriseiki Hospital, 18-28, Yayoi-cho, Higashiosaka, Osaka, Japan aut NATIONALLICENCE 700 1- Nabeta Masaharu Department of Orthopaedic Surgery, Ikeda Hospital, Higashiosaka, Japan aut NATIONALLICENCE 700 1- Habunaga Hiroshi Department of Orthopaedic Surgery, Ishikiriseiki Hospital, 18-28, Yayoi-cho, Higashiosaka, Osaka, Japan aut NATIONALLICENCE 700 1- Suzuki Akinobu Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan aut NATIONALLICENCE 700 1- Nakamura Hiroaki Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/6(2011-06-01), 947-953 0940-6719 20:6<947 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer