Turkish Neurosurgery
The Clinical Comparison Between the Patients Operated for Unilateral Radiculopathy Via Contralateral(Facet-Sparing)and Ipsilateral Side Approach
Ahmet Öğrenci1, Orkun Koban1, Onur Yaman2, Mesut Yılmaz1, Sedat Dalbayrak1
1Nörospinal Akademi, Neurosurgery, istanbul,
2Koç University, Neurosurgery, İstanbul,
DOI: 10.5137/1019-5149.JTN.20032-17.2

Aim:To compare clinical outcomes of the patients operated from contralateral or ipsilateral side for unilateral radiculopathy in spinal stenosis.Material and Methods:This is a retrospective study.20 patients were listed as Group 1(Contralateral) whom had unilateral radiculopathy with spinal stenosis with/without lateral recess syndrome or foraminal stenosis.Decompression from the radiculopathy side was performed to the patients in Group 2.(Ipsilateral)back pain VAS and leg pain VAS were assessed at preoperative(preop) ,postoperative(postop) 1st month and postop 12th month.The results were assessed in statistically.Results:2 patients were excluded because of reoperation at 2nd month from the group 2 to assessment 12th month VAS.There was no significant difference between two groups at 1st month back pain VAS and leg pain VAS. There was no significant difference between two groups at 12th month back pain VAS and leg pain VAS too. Dynamic stabilization was performed at 2nd month to two patients after first operations for instability. So,there was no difference of clinical outcomes between the patients treated by contralateral approach and ipsilateral approach if instability didn\'t occur. But there is a risk of instability of the same side approach and surgery owing to shaving of facet joint.Conclusion:At this contrlateral approach, the recess of the contrlateral side and foramen can be seen better from the ipsilateral approach.So this is a facet-sparing approach to spinal stenosis with/without lateral recess syndrome or foraminal stenosis with unilateral radiculopathy.Contralateral approach to the unilateral radicular complaints is quite effective. With this approach, facet joints are preserved from possible instability.

Corresponding author : Ahmet Öğrenci