{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:10:38Z","timestamp":1763464238925,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of this study was to assess the outcomes of fusion technique via posterior instrumentation in combination with transverse decompression in the surgical treatment of degenerative lumbar canal stenosis.\nMethods: Forty-five patients\u201339 women (86.7%) and 6 men (13.3%)\u2013were included. Mean age was 58.68\u00b18.63 years with mean follow-up of 51.71\u00b120.96 months. Preoperative and postoperative clinical evaluation was performed using the Oswestry Disability Index (ODI) and Visual Analog Scale (VAS) for overall pain. Preoperative and postoperative imaging studies were used to measure the degree of spondylolisthesis and the angle of scoliosis and lumbar lordosis. The presence of preoperative facet joint arthrosis and changes in the diameter of anterior, posterior, and transverse spinal canal were assessed by computed tomography (CT). Preoperative disc degeneration, disk herniation, and spondylolisthesis were examined by magnetic resonance imaging (MRI).\nResults: Mean preoperative ODI and VAS scores were 59.2% and 7.06, respectively, while postoperative ODI and VAS scores were 14.4% and 1.7%, respectively (p=0.001). Anteroposterior diameter of the central canal increased from 10.43\u00b12.18 mm preoperatively to 19.63\u00b12.01 mm postoperatively (p=0.0001). Mean preoperative and postoperative spondylolisthesis were 5.81\u00b14.88 mm and 3.87\u00b14.53 mm, respectively (p=0.0001). Mean preoperative and postoperative scoliosis angles were 5.84\u00b0\u00b110.14\u00b0 and 2.04\u00b0\u00b15.08\u00b0, respectively (p=0.0002). Mean preoperative and postoperative lordosis angles were 22.47\u00b0\u00b113.98\u00b0 and 33.73\u00b0\u00b110.89\u00b0, respectively (p=0.0001). Complications included pulmonary embolism in 1 patient (2.2%), superficial injury site infection in 1 patient (2.2%), and deep surgical site infection in 1 patient (2.2%). Two patients (4.4%) experienced dural tears. One patient (2.2%) had intraoperative radix damage.\nConclusion: The results of the present study suggest that the fusion technique via posterior instrumentation, in combination with transverse decompression, offers a clinical improvement in patients with lumbar canal stenosis.\n \n\nDOI: 10.3944\/AOTT.2015.14.0027\n\n \n\n\u00d6zet\n\nAma\u00e7: Bu \u00e7al\u0131\u015fmada, dejeneratif lomber dar kanal tan\u0131l\u0131 hastalara uygulad\u0131\u011f\u0131m\u0131z transvers dekompresyon y\u00f6ntemiyle beraberinde yap\u0131lan posterior enstr\u00fcmantasyonlu f\u00fczyon y\u00f6nteminin sonu\u00e7lar\u0131 de\u011ferlendi.\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmaya 39\u2019u (%86.7) kad\u0131n, 6\u2019s\u0131 (%13.3) erkek olmak \u00fczere 45 hasta al\u0131nd\u0131. Ortalama ya\u015f 58.68\u00b18.63, ortalama takip s\u00fcresi 51.71\u00b120.96 ay. Ameliyat \u00f6ncesi ve sonras\u0131 klinik de\u011ferlendirme Oswestry Engellilik \u0130ndeksi (OE\u0130), genel a\u011fr\u0131 i\u00e7in g\u00f6rsel analog skala (GAS) uyguland\u0131. Ameliyat \u00f6ncesi ve sonras\u0131 radyografik de\u011ferlendirmelerde; spondilolistezis miktar\u0131, skolyoz a\u00e7\u0131s\u0131 ve lomber lordoz a\u00e7\u0131s\u0131 \u00f6l\u00e7\u00fcld\u00fc. Bilgisayarl\u0131 tomografi ile ameliyat \u00f6ncesi faset eklem artrozu olup olmad\u0131\u011f\u0131, spinal kanal \u00f6narka ve transvers \u00e7ap de\u011fi\u015fimi de\u011ferlendirildi. Manyetik rezonans g\u00f6r\u00fcnt\u00fclemede ameliyat \u00f6ncesi disk dejenerasyonu, disk herniasyonu ve spondilolistezisin olup olmad\u0131\u011f\u0131 de\u011ferlendirildi.Bulgular: Hastalar\u0131n ameliyat \u00f6ncesi OE\u0130 skoru ortalamas\u0131 %59.2, GAS ortalamas\u0131 7.06 idi. Ameliyat sonras\u0131nda OE\u0130 skoru %14.4\u2019e, GAS ise 1.7\u2019e d\u00fc\u015ft\u00fc (p=0.001). Ameliyat \u00f6ncesi santral kanal\u0131n \u00f6narka \u00e7ap\u0131 10.43\u00b11.45 mm\u2019den, ameliyat sonras\u0131 19.63\u00b12.01 mm\u2019ye (p=0001), transvers \u00e7ap ortalamas\u0131 13.46\u00b12.18 mm\u2019den, 24.53\u00b12.37 mm\u2019ye y\u00fckseldi (p=0.0001). Hastalar\u0131n ameliyat \u00f6ncesi spondilolistezis ortalamas\u0131 5.81\u00b14.88 mm iken ameliyat sonras\u0131 3.87\u00b14.53 mm (p=0.0001), ameliyat \u00f6ncesi skolyoz a\u00e7\u0131s\u0131 5.84\u00b110.14 iken ameliyat sonras\u0131 2.04\u00b15.08 (p=0.0002), ameliyat \u00f6ncesi lordoz ortalamas\u0131 22.47\u00b113.98 iken ameliyat sonras\u0131 33.73\u00b110.89 olarak tespit edildi (p=0.0001). Komplikasyon olarak bir (%2.2) hastada pulmoner tromboemboli, bir (%2.2) hastada y\u00fczeyel yara yeri enfeksiyonu, bir (%2.2) hastada derin cerrahi alan enfeksiyonu geli\u015fti. \u0130ki (%4.4) hastada dura y\u0131rt\u0131\u011f\u0131 tespit edildi. Bir (%2.2) hastada intraoperatif radiks hasar\u0131 geli\u015fti.\u00c7\u0131kar\u0131mlar: Transvers dekompresyon ile birlikte posterior enstr\u00fcmantasyonlu f\u00fczyon, lomber dar kanal hastalar\u0131nda klinik \u00f6nemi olan bir iyile\u015fme sa\u011flamaktad\u0131r<\/jats:p>","DOI":"10.3944\/aott.2015.14.0027","type":"journal-article","created":{"date-parts":[[2015,7,7]],"date-time":"2015-07-07T07:04:16Z","timestamp":1436252656000},"page":"614-619","source":"Crossref","is-referenced-by-count":0,"title":["Transverse decompression technique in the surgical treatment of degenerative lumbar canal stenosis"],"prefix":"10.5152","volume":"49","author":[{"given":"Salih","family":"M\u00fcjde","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuri","family":"Erel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F\u0131rat","family":"Ozan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3058\/3010","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:07:58Z","timestamp":1763464078000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3058"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2015,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2015.14.0027","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}