Factors influencing immediate surgical outcome of lumbar spine stenosis

Yahya Farah *, Peter P. Kyombya, Alngar DJIMRABEYE, Rayhane HAMDAOUI, Mustapha HEMAMA, Nizare EL FATEMI and Moulay Rachid EL MAAQILI

Department of Neurosurgery, Hospital IBN SINA, Rabat, Mohammed V University of Rabat, Morocco.
 
Research Article
World Journal of Advanced Research and Reviews, 2023, 20(01), 153–158
Article DOI: 10.30574/wjarr.2023.20.1.1945
 
Publication history: 
Received on 13 August 2023; revised on 30 September 2023; accepted on 02 October 2023
 
Abstract: 
Introduction: Patients have co-morbid condition, with LSS have poor outcome immediately postoperative, comparing the patients without co-morbid, for first time of discharge up to 3 months, they have poor surgical outcome those with comorbid and complex Posterior Decompressive procedure.
Methods: We retrospectively study for 21 patient was operated in Hospital IBN SINA university hospital at rabat, from 2018 – up to 2022, for 5 years, files those was admitted at department for clinical and radiological diagnosed , and operated for LSS.
Results: The mean age of the 21 patients in our study of LSS is 57 years, at range of the age (40-72), The female gander was 14 out of 21 patient 63.6 %, and 7 of them was male 31.8%, patient had co-morbid was 14/21 =66.6% at different types of co-morbid, isolated Hypertension 2 patient, isolated diabetic, Parkinson, and past history of surgical procedures, 14 cases had co-morbid 7 of them they develop neurological Deficit, it means 50%of them they present Deficit,
Conclusion: The surgical outcome of the patient had co-morbid, with combined posterior decompressive procedures, most of them they presenting poor outcome comparing those without co-morbid and laminectomy only procedure.
 
Keywords: 
Lumber spine stenosis; Co-morbid; Posterior decompressive; Laminectomy; Neurological deficit
 
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