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Agha
S. Khan, MD, FACS
Carol Jerosimicb, PA (Baltimore, MD)
Introduction:
The posterior
lumbar spinal paramedian approach has had similar or better results
than the conventional approach with easier exposure, less tissue
damage, decreased morbidity, and less blood loss, Of the 150
patients surveyed, 55% females and 45% males, ranging in age
from 30's to 60's, and in various states of health. Most cases
underwent fusion secondary to advanced degenerative disc disease,
others resulted from other medical problems.
Method:
A questionnaire
was mailed, with follow up by mail, telephone, and during post
operative office visits, consisted of patient's perception of
the amount of relief achieved from symptoms, increase in function,
and ability to perform their previous occupations or activities
of daily living.
Results:
The patients
reported 90% improvement of physical symptoms suffered prior
to surgical intervention. 15% had complete relief of symptoms
and had returned to activities and work level they were at before
their symptoms began. 80% have returned to light or full duty
within six months of the surgical date.
Discussion:
Several
factors affect outcome, some are under patient control and others
are not. Patient compliance, tobacco abuse, and state of health
are discussed as influencing factors that can affect the outcome.
Conclusion:
The
posterior lumbar spinal paramedian approach is comparable or
better than the conventional approach eith results indications
impressive relief of preoperative symptoms. Surgical advantages
over the conventional approach range from easier exposure, less
tissure damage, decreased morbidity to less blood loss.
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