Abstract：
Lumbar canal stenosis (LCS) is a common spinal disease affecting the elderly. Primarily it is asymptomatic until there is neurogenic claudication. Minimally invasive surgical (MIS) techniques are used to treat patients with lumbar spinal stenosis (LSS), while tubular system with alternative multilevel decompression is specifically used for those with minimal back pain and no mechanical instability on dynamic imaging. The aim of the study is to evaluate surgical outcome of Slalom procedure and complications in Middle East population. One hundred and five patients with lumbar stenosis (61 males and 44 females) underwent the procedure between 2015-2021 who were regularly followed-up using preoperative and postoperative COMI score (the core outcome measure index) at six months after index surgery. Progressive improvement in COMI score from average seven pre-op score to an average of three after six months of index surgery. The postoperative complications were dural tear (6.67%), Postoperative infection (3.81%), mechanical instability (1.9%), postoperative neuritis (8.57%) and death (1.9%).
摘要：
腰椎管狭窄（LCS）是影响老年人的常见脊柱疾病。主要是无症状，直到出现神经源性跛行。微创手术（MIS）技术用于治疗腰椎管狭窄（LSS）患者，而具有替代多级减压的管状系统专门用于那些背部疼痛最小且动态成像无机械不稳定性的患者。该研究的目的是评估中东人群激流回旋手术的手术效果和并发症。2015年至2021年之间，有105例腰椎管狭窄症患者（男性61例，女性44例）接受了手术治疗，这些患者在指数手术后六个月使用术前和术后COMI评分（核心结果指标）进行了定期随访。COMI评分从术后平均7分逐步改善至术后6个月的平均3分。术后并发症为硬膜撕裂（6.67%），术后感染（3.81%），机械不稳定性（1.9%），术后神经炎(8.57%)和死亡(1.9%)。
