Ekhator Chukwuyem, Griepp Daniel, Urbi Alyssa, Fiani Brian
Neuro-Oncology, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, USA.
Neurosurgery, St. Barnabas Hospital Health System, Bronx, USA.
Cureus. 2023 Apr 13;15(4):e37535. doi: 10.7759/cureus.37535. eCollection 2023 Apr.
Lumbar spinal stenosis refers to the narrowing of the spinal canal in the lumbar region. There is an increasing need to determine the treatment modality for lumbar spinal stenosis by comparing the outcomes of X-stop interspinous distractors and laminectomy. The objective of this study is to determine the effectiveness of the X-stop interspinous distractor compared to laminectomy. This systematic review fundamentally abides by the procedures delineated in the Cochrane methodology while the reporting is done according to the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. Three databases searched generated a total of 943 studies, with PubMed being the source for the bulk of the articles. Six studies were selected for inclusion in this study. The effectiveness of the interspinous distractor devices and laminectomy can be determined through their impact on the quality of life, rates of complications, and the amount of money utilized. This meta-analysis fundamentally emphasizes that laminectomy is a more effective intervention for the treatment of lumbar spinal stenosis as it is more cost-effective and results in fewer complications in the long term.
腰椎管狭窄症是指腰椎区域椎管的狭窄。通过比较X-stop棘突间撑开器和椎板切除术的疗效来确定腰椎管狭窄症的治疗方式的需求日益增加。本研究的目的是确定与椎板切除术相比，X-stop棘突间撑开器的有效性。本系统评价基本遵循Cochrane方法学中所描述的程序，同时根据系统评价和Meta分析的首选报告项目指南进行报告。检索的三个数据库共产生943项研究，其中大部分文章来自PubMed。本研究纳入了六项研究。棘突间撑开器装置和椎板切除术的有效性可以通过它们对生活质量、并发症发生率和所花费的金额的影响来确定。这项Meta分析基本强调，椎板切除术是治疗腰椎管狭窄症更有效的干预措施，因为它更具成本效益，且从长期来看并发症更少。
