title: [Selective, microsurgical cross-over decompression of multisegmental degenerative lumbar spinal stenoses: the "Slalom" technique].
abstract: OBJECTIVE
  Selective, bilateral multisegmental microsurgical decompression of lumbar spinal canal stenosis through separate, alternating cross-over approaches.
  
  
  METHODS
  Two- and multisegmental degenerative central and lateral lumbar spinal stenoses.
  
  
  METHODS
  None (however, if stabilization is necessary, the Slalom technique is not possible).
  
  
  METHODS
  Minimally invasive, muscle-sparing and facet-joint-sparing bilateral decompression of the lumbar spinal canal through 2 or more alternating microsurgical cross-over approaches from one side.
  
  
  METHODS
  Early mobilization 4-6 h postoperatively. Soft lumbar brace for 4 weeks (optional).
  
  
  RESULTS
  Between December 2010 and May 2011, the operation was performed in 35 patients (10 women; 25 men; age 71.8 years). The average time of surgery was 42 min/segment, the average blood loss was 20.3 ml/segment. Of the 35 patients, 15 did not required wound drainage. All patients were mobilized without restriction after 4-6 h, hospitalization was 5.2 days. There were 3 intraoperative complications (2 Dura lesions [5.7%] and 1 temporary L5 radiculopathy probably due to swelling of the L5 nerve root [2.8%]). Postoperatively there was a significant improvement in quality of life as measured with EQ 5D and Oswestry Disability Index as well as a significant improvement of walking distance and standing time.
authors: Wirbelsäulenzentrum, Schön Klinik München - Harlaching, Harlachinger Str. 51, 81547, München, Deutschland. MMayer@schoen-kliniken.de
authors: H M
authors: HM
authors: Mayer
authors: F
authors: F
authors: Heider
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D055959:Intervertebral Disc Degeneration / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D007796:Laminectomy / Q000379:methods*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D016896:Treatment Outcome
references: Spine (Phila Pa 1976). 1983 May-Jun;8(4):429-33
references: 6635793
references: Spine (Phila Pa 1976). 2003 Feb 15;28(4):348-53
references: 12590208
references: Neurosurgery. 2009 Dec;65(6 Suppl):182-7; discussion187
references: 19934993
references: J Neurosurg Spine. 2012 Jan;16(1):68-76
references: 21961964
references: Ann Intern Med. 1985 Aug;103(2):271-5
references: 3160275
references: Eur Spine J. 2009 Dec;18(12):1989-1990
references: 19937063
references: Neurosurg Clin N Am. 1991 Oct;2(4):785-90
references: 1821757
references: Spine (Phila Pa 1976). 2011 Mar 1;36(5):410-5
references: 20847714
references: Spine (Phila Pa 1976). 1989 Jun;14(6):591-3
references: 2749373
references: J Neurosurg Spine. 2007 Dec;7(6):579-86
references: 18074681
references: Orthopade. 2003 Oct;32(10):889-95
references: 14579021
references: Spine (Phila Pa 1976). 2010 Sep 1;35(19):E981-7
references: 20386501
references: J Bone Joint Surg Br. 1974 Aug;56B(3):545-50
references: 4421702
references: J Bone Joint Surg Am. 1991 Jul;73(6):809-16
references: 2071616
references: Acta Neurochir (Wien). 1993;120(3-4):136-42
references: 8460565
references: Neurosurgery. 1995 Aug;37(2):343-7
references: 7477792