1998 Volume 12 Issue 2 Pages 111-122
In the present manuscript, the authors described the various kinds of the decompression procedures and fixation methods for the degenerative lumbar disorders. At the evaluation of the patients with the degenerative lumbar disorders, not only the neurological status but also the neuroradiological findings must be meticulously analyzed. According to such findings obtained from these examinations, the operative procedures are decided. Although the wide laminectomy has been used for the standard operation for the lumbar canal stenosis, either the fenestration method or the unilateral approach for the bilateral ligamentectomy can obtain favorable results. The strict indications of the fixation procedures for the degenerative lumbar disorders have not been established. It is necessary to perform the prospective study for the evaluation of the efficacy of the fixation operations. In the present paper, the methods of the in situ fusion and pedicle screw fixation were described.
