000			03333cam a2200349 a 4500
003			EG-GiCUC
005			20250223032705.0
008			210215s2020 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.25.M.Sc.2020.Sh.E
100	0		_aSherif Ahmed Mohamed Ahmed Elbesy
245	1	0	_aEvaluation of clinical and radiological results of decompression only surgery in patients with scs associated with first degree degenerative spondylolithesis / _cSherif Ahmed Mohamed Ahmed Elbesy ; Supervised Youssry Elhawary , Ihab Emran , Mohamed Mosaad
246	1	5	_aتقييم النتائج الاكلينيكة و الاشعاعية لجراحة توسيع القناة الشوكية فى مرضى ضيق القناة الشوكية المصاحب لحالات التزحلق الفقارى التنكسى من الدرجة الاولى
260			_aCairo : _bSherif Ahmed Mohamed Ahmed Elbesy , _c2020
300			_a72 P. : _bcharts , facimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery
520			_aBackground:degenerative spondylolisthesis is a disorder that causes slip of one vertebra over the one below due to degenerative changes,with slip progression, facet hypertrophy and buckling of ligamentum flavum spinal canal stenosis occurs. Symptoms include low back pain, neurogenic claudication, and radiculopathy.Surgical treatment is indicated when conservative management fails, surgical options include decompression alone or decompression with fusion (posterolateral / interbody fusion) Purpose:to evaluate the efficacy of decompression only surgery in relieving symptoms in patients with spinal canal stenosis associated with first degree degenerative spondylolithesis. Methods:a prospective cohort study including 20 Patients diagnosed with spinal canal stenosis associated with first degree degenerative spondylolithesis; treated by decompression only surgery (open and minimally invasive). Pain and disability assessment pre and post operatively by VAS, Oswestry and JOABPEQ scores with X- ray dynamic views pre and postoperative.Results: This study proves that decompression only surgery carries satisfactory functional outcomes for carefully selected patients who suffer from canal stenosis associated with first degree spondylolithesis. It also proves that minimally invasive technique although is a technically demanding procedure; but still an effective, less invasive, and safe method to relieve patients' symptoms.Conclusion: decompression surgery without fusion is a highly cost benefit effective procedure that reliefs patient symptoms and avoid the adverse effects of fusion to carefully selected patients based on clinical as well as radiological data collected by the surgeon
530			_aIssued also as CD
653		4	_a Spinal canal decompression
653		4	_aDegenerative spondylolithesis
653		4	_aSpinal canal stenosis
700	0		_aIhab Emran , _eSupervisor
700	0		_aMohamed Mosaad , _eSupervisor
700	0		_aMohamed Mosaad , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c79904 _d79904