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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1991-8-20
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pubmed:abstractText |
The outcome of laminectomy for the relief of symptoms resulting from degenerative lumbar stenosis is not well established. Eighty-eight consecutive patients who had had a laminectomy for degenerative lumbar stenosis between 1983 and 1986 were studied. Eight of the patients had had a concomitant arthrodesis. The follow-up evaluation included a review of charts and standardized questionnaires that were completed by the patients. One year postoperatively, five patients (6 per cent) had had a second operation and five still had severe pain. By the time of the latest follow-up, in 1989, fifteen (17 per cent) of the original eighty-eight patients had had a repeat operation because of instability or stenosis; twenty-one (30 per cent) of the seventy patients who were evaluated by questionnaire in 1989 had severe pain. The factors found to be associated with a poor long-term outcome, defined as severe pain or the need for a repeat operation, or both, included co-existing illnesses (such as osteoarthrosis, cardiac disease, rheumatoid arthritis, or chronic pulmonary disease) (p = 0.004), the duration of follow-up (p = 0.01), and an initial laminectomy involving a single interspace (p = 0.04). We concluded that the long-term outcome of decompressive laminectomy is less favorable than has been previously reported, and that co-morbidity and a single-interspace laminectomy are risk factors for a poor outcome.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0021-9355
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
73
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
809-16
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pubmed:dateRevised |
2010-10-25
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pubmed:meshHeading |
pubmed-meshheading:2071616-Aged,
pubmed-meshheading:2071616-Aged, 80 and over,
pubmed-meshheading:2071616-Consumer Satisfaction,
pubmed-meshheading:2071616-Female,
pubmed-meshheading:2071616-Follow-Up Studies,
pubmed-meshheading:2071616-Humans,
pubmed-meshheading:2071616-Laminectomy,
pubmed-meshheading:2071616-Male,
pubmed-meshheading:2071616-Middle Aged,
pubmed-meshheading:2071616-Pain,
pubmed-meshheading:2071616-Prognosis,
pubmed-meshheading:2071616-Questionnaires,
pubmed-meshheading:2071616-Reoperation,
pubmed-meshheading:2071616-Risk Factors,
pubmed-meshheading:2071616-Spinal Diseases,
pubmed-meshheading:2071616-Spinal Stenosis
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pubmed:year |
1991
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pubmed:articleTitle |
The outcome of decompressive laminectomy for degenerative lumbar stenosis.
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pubmed:affiliation |
Brigham and Women's Hospital, Robert B. Brigham Multipurpose Arthritis Center, Boston, Massachusetts 02115.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
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