title: Limited laminectomy and restorative spinoplasty in spinal canal stenosis.
abstract: METHODS
  Prospective cohort study.
  
  
  OBJECTIVE
  Evaluation of the clinico-radiological outcome and complications of limited laminectomy and restorative spinoplasty in spinal canal stenosis.
  
  
  BACKGROUND
  It is critical to achieve adequate spinal decompression, while maintaining spinal stability.
  
  
  METHODS
  Forty-four patients with degenerative lumbar canal stenosis underwent limited laminectomy and restorative spinoplasty at our centre from July 2008 to December 2010. Four patients were lost to follow-up leaving a total of 40 patients at an average final follow-up of 32 months (range, 24-41 months). There were 26 females and 14 males. The mean±standard deviation (SD) of the age was 64.7±7.6 years (range, 55-88 years). The final outcome was assessed using the Japanese Orthopaedic Association (JOA) score.
  
  
  RESULTS
  At the time of the final follow-up, all patients recorded marked improvement in their symptoms, with only 2 patients complaining of occasional mild back pain and 1 patient complaining of occasional mild leg pain. The mean±SD for the preoperative claudication distance was 95.2±62.5 m, which improved to 582±147.7 m after the operation, and the preoperative anterio-posterior canal diameter as measured on the computed tomography scan was 8.3±2.1 mm, which improved to 13.2±1.8 mm postoperatively. The JOA score improved from a mean±SD of 13.3±4.1 to 22.9±4.1 at the time of the final follow-up. As for complications, dural tears occurred in 2 patients, for which repair was performed with no additional treatment needed.
  
  
  CONCLUSIONS
  Limited laminectomy and restorative spinoplasty is an efficient surgical procedure which relieves neurogenic claudication by achieving sufficient decompression of the cord with maintenance of spinal stability.
authors.affiliation: Department of Orthopaedics, Paraplegia and Rehabilitation, Pt BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, India.
authors.forename: Sukhbir Singh
authors.initials: SS
authors.lastname: Sangwan
authors.affiliation: Department of Orthopaedics, Paraplegia and Rehabilitation, Pt BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, India.
authors.forename: Rakesh
authors.initials: R
authors.lastname: Garg
authors.affiliation: Department of Orthopaedics, Paraplegia and Rehabilitation, Pt BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, India.
authors.forename: Paritosh
authors.initials: P
authors.lastname: Gogna
authors.affiliation: Department of Orthopaedics, Paraplegia and Rehabilitation, Pt BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, India.
authors.forename: Zile Singh
authors.initials: ZS
authors.lastname: Kundu
authors.affiliation: Department of Orthopaedics, Paraplegia and Rehabilitation, Pt BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, India.
authors.forename: Vinay
authors.initials: V
authors.lastname: Gupta
authors.affiliation: Department of Orthopaedics, Paraplegia and Rehabilitation, Pt BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, India.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Kamboj
keywords: Decompression; Limited laminectomy; Lumbar canal stenosis; Lumbar spine; Spinoplasty