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Volume 03
Spine 2019
October 16-17, 2019
Journal of Neurology and Clinical Neuroscience
October 16-17, 2019 | Rome, Italy
SPINE AND SPINAL DISORDERS
5
th
World Congress on
J Neurol Clin Neurosci, Volume 03
Novel classification method for the treatment of Lumbar Foraminal Stenosis
Ali Fahir Ozer
1
, Orhun Mete Cevik
2
, Mehdi Hekimoglu
3
, Murat Korkmaz
1
, Goktug Akyoldas
1
, Mehdi Sasani
1
,
Tunç Oktenoglu
1
and
Tuncer Suzer
1
1
Koc University School of Medicine, Turkey
2
Bakirkoy Training and Research Hospital for Psychiatric and Nervous Diseases, Turkey
3
American Hospital, Turkey
Objective
: There are numerous radiological and anatomical studies on Lumbar Foramina in the literature, but there are no
distinctive studies about the relationship between treatment and the type of Foraminal Stenosis.
Methods
: We retrospectively reviewed the data of patients who underwent Foraminal Stenosis. A new classification system
was developed based on radiological findings and treatment modalities of this patient group. Foraminal Stenosis was divided
into two groups: stable and unstable stenosis. Both groups were also divided into four subgroups in relation to their cause
of and type of compression and based on the structure of the intervertebral disc. Visual Analog Scale (VAS) and Oswestry
Disability Index (ODI) scores were investigated before and after surgery.
Results
: Seventy-one patients (33 females and 38 males) underwent Lumbar Foraminal Stenosis. The mean patient age was
54 (range 17 to 80) years. There were 11 patients (15.5%) with stable foraminal stenosis and 60 patients (84.5%) with unstable
foraminal stenosis. The majority of the patients were identified as having unstable Type 1 Foraminal Stenosis (44 of 71). The
mean VAS score was 7.56 before surgery and 0.90 at two years after surgery. Moreover, the mean ODI score was 60,34 before
surgery, 40,68 at 4 months after surgery and 8,0 at two years after surgery.
Conclusions
: In stable stenosis, the anterior column of the spine
is rigid and immobile due to disc and annulus calcification. In
contrast, in unstable Foraminal Stenosis, the disc is degenerative
but mobile due to the mobility of the anterior column. This
classification helps to determine the optimal treatment. In stable
stenosis, decompression of the foramen is nearly efficient;
however, in patients with unstable stenosis, the instrumentation
is almost always necessary.
Biography
Ali Fahir Ozer was graduated from Ataturk University School of Medicine in 1976. He did his Neurosurgery Residency between 1977
and 1982 at Hacettepe University School of Medicine. He obtained his Associate Professor position in 1988 and Full-Professorship
in 1994. He served as the Head of Neurosurgery Department in Kocaeli University between 1994 and 1995. He has been working at
American Hospital Neurosurgery Department since 1995 and is currently a faculty of Department of Neurosurgery at Koc University
School of Medicine, He is Adjunct Professor in Bioengineering and Orthopaedic Surgery Colleges of Engineering and Medicine,
University of Toledo in 2018. His research mainly focuses on the Biomechanics of Spine and dynamic stabilization of the spine. He had
patented spinal products used in spinal surgery.
e
:
alifahirozer@gmail.com