[Homogeneous spinal-shortening axial decompression procedure for XXXX ].

@entity1 @entity1643 @entity322 @entity66 @entity16 @entity1109 @entity1973 @entity4681 @entity5173 @entity601 @entity158 @entity250
OBJECTIVE: Surgical detethering is a traditional treatment for symptomatic @entity601 . However, such complications as @entity5173 and @entity16 are common. Homogeneous spinal-shortening axial decompression (HSAD) is a modified procedure of monosegmental @entity4681 and it is a novel surgical alternative of reducing neural tension indirectly. The objective was to evaluate the surgical outcomes of HSAD for @entity601 . METHODS: The surgical outcomes were examined for 15 consecutive @entity1 with @entity601 undergoing HSAD from April 2010 to July 2014. Improvements of neurological symptoms including @entity1973 , @entity1109 and/or gait abnormalities, @entity1643 , @entity322 and @entity250 were evaluated. RESULTS: Their average follow-up period was 21.5 months. The length of spinal column shortening was 17.2    2.9 mm. @entity1973 (n = 9) was the most common residual deficit. All 9 @entity1 with @entity1109 reported improvements, although deficits persisted at the last follow-up. All @entity1 with @entity66 improved and 4 (50.0%) noted complete resolution of preoperative @entity1109 . All @entity1 reported immediate low-back or lower-extremity @entity158 relief after HSAD. One @entity1 reported improved sexual functioning and regained complete erectile capabilities. Two @entity1 (11%) experienced less satisfactory symptomatic or functional benefit from HSAD. However, the main objective of surgery was to prevent further worsening of neurological status. Complete bone union at osteotomy site was noted in all cases at the last follow-up. CONCLUSION: As a novel surgical option for @entity601 , HSAD may avoid such complications as @entity5173 or @entity16 commonly encountered during traditional detethering surgery. All @entity1 gain satisfactory functional outcomes without complications compared to their preoperative symptoms.
