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Research ArticleMinimally Invasive Surgery

Comparison of Applied Anatomy at L4-L5 and L5-S1 in Context of Tubular Decompression for Lumbar Canal Stenosis

Arvind G. Kulkarni and Sanjeev Asati
International Journal of Spine Surgery December 2021, 15 (6) 1142-1146; DOI: https://doi.org/10.14444/8145
Arvind G. Kulkarni
Department of Orthopaedics, Mumbai Spine Scoliosis and Disc Replacement Centre, Bombay Hospital and Medical Research Centre, Mumbai, Maharashtra, India
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Sanjeev Asati
Department of Orthopaedics, Mumbai Spine Scoliosis and Disc Replacement Centre, Bombay Hospital and Medical Research Centre, Mumbai, Maharashtra, India
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    Figure 1

    Interlaminar angle at (A) L4-L5 and (B) L5-S1 level.

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    Figure 2

    Tube angle at (A) L4-L5 and (B) L5-S1 level.

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    Figure 3

    Figure demonstrating table tilting and tube tilting for contralateral over-the-top decompression at (A) L4-L5 and (B) L5-S1 level.

Tables

  • Figures
  • ParameterGroup 1 (L4)Group 2 (L5) P Value
    Interlaminar angle, mean71°102°<0.001
  • ParameterGroup 1 (L4-L5)Group 2 (L5-S1) P Value
    Tube angle, mean36.8°49.7°<0.001
  • Table. Interobserver reliabilitya among the observers.

    Radiological ParametersAgreement Between ObserversICC
    Interlaminar angle
     L4-L560%0.98
     L5-S162.5%0.99
    Tube angle
     L4-L562.5%0.97
     L5-S157.5%0.94
    Laminar thickness ratio65%0.97
    Laminar length ratio62.5%0.96
    • aInter-observer correlation was estimated using the interclass coefficient (ICC).

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International Journal of Spine Surgery
Vol. 15, Issue 6
1 Dec 2021
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Comparison of Applied Anatomy at L4-L5 and L5-S1 in Context of Tubular Decompression for Lumbar Canal Stenosis
Arvind G. Kulkarni, Sanjeev Asati
International Journal of Spine Surgery Dec 2021, 15 (6) 1142-1146; DOI: 10.14444/8145

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Comparison of Applied Anatomy at L4-L5 and L5-S1 in Context of Tubular Decompression for Lumbar Canal Stenosis
Arvind G. Kulkarni, Sanjeev Asati
International Journal of Spine Surgery Dec 2021, 15 (6) 1142-1146; DOI: 10.14444/8145
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More in this TOC Section

  • Comparative Review of Lateral and Oblique Lumbar Interbody Fusion: Technique, Outcomes, and Complications
  • Key Considerations in Surgical Decision-Making on the Side of Approach for Lumbar Lateral Transpsoas Interbody Fusion Techniques
  • A Spine Surgeon’s Learning Curve With the Minimally Invasive L5 to S1 Lateral ALIF Surgical Approach: Perioperative Outcomes and Technical Considerations
Show more Minimally Invasive Surgery

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Keywords

  • lumbar canal stenosis
  • spinal surgery
  • interlaminar angle
  • tube angle
  • microendoscopic decompression

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