{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,4,17]],"date-time":"2024-04-17T05:06:40Z","timestamp":1713330400935},"reference-count":25,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"4","license":[{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2010,4]]},"abstract":"<jats:p> We describe a modified technique of micro-decompression of the lumbar spine involving the use of an operating microscope, a malleable retractor and a high-speed burr, which allows decompression to be performed on both sides of the spine through a unilateral, hemi-laminectomy approach. The first 100 patients to be treated with this technique have been evaluated prospectively using a visual analogue score for sciatica and back pain, the MacNab criteria for patient satisfaction, and functional assessment with the Oswestry Disability Index. <\/jats:p><jats:p> After a period of follow-up from 12 months to six years and four months, sciatica had improved in 90 patients and back pain in 84 patients. Their result was graded as good or excellent by 82 patients according to the MacNab criteria, and 75 patients had subjective improvement in their walking distance. Late instability developed in four patients. <\/jats:p><jats:p> Lumbar micro-decompression has proved to be safe, with few complications. Postoperative instability requiring fusion was uncommon, and less than using traditional approaches in published series. <\/jats:p>","DOI":"10.1302\/0301-620x.92b4.22050","type":"journal-article","created":{"date-parts":[[2010,3,31]],"date-time":"2010-03-31T23:23:48Z","timestamp":1270077828000},"page":"550-554","source":"Crossref","is-referenced-by-count":16,"title":["Micro-decompression for lumbar spinal stenosis"],"prefix":"10.1302","volume":"92-B","author":[{"given":"N. M.","family":"Orpen","sequence":"first","affiliation":[{"name":"Great Western Hospital, Marlborough Road, Swindon SN3 6BB, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. A.","family":"Corner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Royal Berkshire Hospital, London Road, Reading RG1 5AN, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. R.","family":"Shetty","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Royal Berkshire Hospital, London Road, Reading RG1 5AN, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Marshall","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Royal Berkshire Hospital, London Road, Reading RG1 5AN, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Turner JA, Ersek M, Herron L, Deyo R. Surgery for lumbar spinal stenosis: attempted meta-analysis of the literature. 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