Spinous process osteotomy - bone and soft tissue preserving extensile approach to multilevel spinal pathology - our experience and outcomes

CO-ORGANIZED EVENT:2^nd International Conference on Spine and Spinal Disorders & 6^th International Conference on Neurology and Neuromuscular Diseases

July 24-26, 2017 Rome, Italy

Chandrasekaran Marimuthu

Mahatma Gandhi Medical College and Research Institute, India

Scientific Tracks Abstracts: J Spine

Abstract :

Background: Surgical treatment of multilevel spinal pathology involves exposure at all levels with complete stripping of para spinal muscles. Minimally invasive endospine procedures are a good option for one or two level pathologies but have its own learning curve and availability. More than two levels and intradural pathologies cannot be addressed by endospine systems. Materials & Methods: It�s a retrospective study involving all those patients who underwent multilevel decompression with or without spinal stabilization; intradural tumor excision through spinous process osteotomy at our department during the period from January 2015 to December 2015. Total of 17 patients were found to have undergone the above mentioned procedure. Two of them had intradural tumor excision, four patients decompression with stabilization for lumbar spinal stenosis with instability, and remaining all for three or more levels lumbar spinal stenosis. Results: All the patients were followed for a period of one year except in one, whose follow up was lost at six months. Functional outcome was assessed using VAS scoring for leg pain and back pain, ODI and neurological recovery. The average VAS of six, seven for back pain and leg pain respectively improved to two and ODI from 70% to 15% in patients with spinal stenosis. Two patients had hematoma which subsided with conservative measures alone and superficial wound infection in one patient. Another patient had small dural tear managed with Gelfoam packing alone. Postop CT/MRI revealed preservation paraspinal musculature on the nondissected side and 22% of asymptomatic non-union at the osteotomy site. Conclusion: Spinous process osteotomy in multilevel spinal pathologies is a bone and soft tissues preserving extensile approach by which multiple spinal pathologies can be addressed with excellent functional outcome.

Biography :

Chandrasekaran Marimuthu has completed MBBS and MS in Orthopedics. He specializes in Orthopedic Surgery, Sports Medicine and Traumatology.

Email: chandruortho@yahoo.com