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Lumbar Spinal Stenosis

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Minimally Invasive Spine Surgery

Abstract

Over the last few decades, minimally invasive decompression techniques have been developed with the technical advances of retractors, instruments, and visualization tools. Techniques allowing bilateral decompression from a unilateral approach can limit soft tissue disruption and still allow for adequate decompression of the neural elements. Multiple case series have demonstrated a complication profile that is favorable compared to conventional open laminectomy, and comparison studies have shown the benefit of the minimally invasive approach specifically for perioperative factors and wound infections. The role of interspinous process devices and decompression in an area of spinal instability when addressing pathology associated with lumbar spinal stenosis is still to be determined. This chapter discusses the application of minimally invasive techniques for the treatment of lumbar spinal stenosis and includes indications, outcomes, and complications for these techniques.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA

    Thomas D. Cha MD, MBA

  2. Division of Spine Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital, Boston, MA, USA

    Justin M. Dazley MD

  3. Department of Orthopaedics, The Ohio State University, Columbus, OH, USA

    Safdar N. Khan MD

Authors
  1. Thomas D. Cha MD, MBA
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  2. Justin M. Dazley MD
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  3. Safdar N. Khan MD
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Corresponding author

Correspondence to Thomas D. Cha MD, MBA .

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA

    Frank Phillips

  2. Scoliosis and Spine Tumor Center, Texas Back Institutes, Texas Health Presbyterian Hospital Plano, Plano, Texas, USA

    Isador Lieberman

  3. Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota, USA

    David Polly

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Cha, T.D., Dazley, J.M., Khan, S.N. (2014). Lumbar Spinal Stenosis. In: Phillips, F., Lieberman, I., Polly, D. (eds) Minimally Invasive Spine Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5674-2_26

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  • DOI: https://doi.org/10.1007/978-1-4614-5674-2_26

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-5673-5

  • Online ISBN: 978-1-4614-5674-2

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