Lumbar Canal Stenosis-A Study of Spinous Process Osteotomy in Posterior Decompression

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Study Design: Prospective Background: Lumbar canal stenosis (LCS) remains one of the most frequently encountered, clinically important degenerative spinal disorders in the ageing population. Diagnosing it clinicallyis made more difficult due tocoexisting degeneration of the spine, hip or knee joint or diseased vessels and nerves of lower limbs or due to de-conditioning of spinal musculature and ligaments. Purpose of the study: The purpose of our study was to assess the results of spinous process osteotomy & laminotomy in cases of lumbar canal stenosis. Material and Methods: It was prospective study with 25 confirmed cases of lumbar canal stenosis adhering to inclusion criteria and stable spine. Patients were assessed pre-operative and post- operative using LINS Functional Ability Criteria, VAS scale for back pain and leg pain, JOAS score and Satisfactory Recovery Rate- Hirabayashi Method( Based on Pre-op and Post-op JOAS scores) with an average follow-up of 1 year. Results: There were 25 patients, 12 (48%) males and 13 (52%) females. Mean age of group was 44.48 ± 7.52.There were14 (56%) patients with two level involvement followed by 6 (24%) patients with three level involvement and 5 (20%) patients with single level involvement. In single level involvement maximum number was of L4-L5.All 25 (100%) patients presented with Claudication and radiculopathy; 9 (36%) had unilateral radiculopathy while 16 (64%) had bilateral radiculopathy.10(40%) patients had motor weakness and sensory involvement.1(4%) patient presented with cauda equina syndrome with associated sphincter involvement.All patients were treated with Spinous process osteotomy and fenestration and foraminotomy. In addition to that, discectomy was done in 14 (56%) patients while laminotomy was required in 3 (12%) patients Functional assessment as per LINS criteriashowed that satisfactory results (Percentage of patients in Excellent and Good Class) were achieved in 90% of the patients.There were sign