Skip to main content

Advertisement

Log in

Interspinous implant in lumbar spinal stenosis: a prospective cohort

  • Article
  • Published:
ArgoSpine News & Journal

Abstract

Lumbar spinal stenosis is a narrowing of spinal canal or neural foramina producing root ischaemia and neurogenic claudication[1–3]. Both the neural canal and foramen are narrowed with the spine in extension and opened in flexion. Patients are usually sixty years or over and present with unilateral or bilateral leg pain with or without back pain. The pain is worse on walking and if the patient is upright and relieved by sitting or bending forward[1–3]. With increasingly ageing population this is a common problem and difficult to deal with as many of the elderly patients have associated co-morbidities making them unsuitable for conventional decompressive surgery[4, 5]. Although lumbar spinal stenosis is one of the most frequent indications for spinal surgery in patients over 65 years of age[7], deciding the most appropriate procedure is a challenge to the clinicians. X-STOP interspinous implant is a titanium device. It was developed to prevent extension and also increase the dimension of spinal canal and neural foramina[5]. We are reporting the clinical outcome and patient satisfaction following indirect decompression with X-STOP.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

/+/ References

  1. Epstein NE, Maldonado VC, Cusick JF (1998) Symptomatic lumbar spinal stenosis. Surg Neurol; 50:3–10

    Article  CAS  PubMed  Google Scholar 

  2. Hall S, Bartleson JD, Onofrio BM et al (1985) Lumbar spinal stenosis: clinical features, diagnostic procedures and result of surgical treatment in 68 patients. Ann Int Med; 103: 271–275

    Article  CAS  PubMed  Google Scholar 

  3. Alvarez JA, Hardy RH Jr (1998) Lumbar spinal stenosis: a common cause of back and leg pain. Am Fam Physician; 57: 1825–1840.

    CAS  PubMed  Google Scholar 

  4. Szpalski M, Gunzburg R (2003) Lumbar spinal stenosis in the elderly: an overview. Eur Spine J; 12(suppl): 170–175.

    Article  Google Scholar 

  5. Lee Jhangbo, Hida Kazutoshi et al (2004) An interspinous process distractor (XSTOP) for lumbar spinal stenosis in elderly patietns: Preliminary experience in 10 cosecutive cases. Journal of Spinal Disorder and Tecniques; 17(1): 72–77.

    Article  Google Scholar 

  6. Amundsen T, Webber H et al (1995) Lumbar spinal stenosis: clinical and radiological features. Spine; 20: 1178–1186.

    Article  CAS  PubMed  Google Scholar 

  7. Katz LN, Lipson SJ, Chang LC et al (1996) Seven to 10 year outcome of decompressive surgery for degenerative lumbar spinal stenosis. Spine; 21: 92–98.

    Article  CAS  PubMed  Google Scholar 

  8. de Graff I, Park A, et al (2006) Diagnosis of lumbar spinal stenosis: A systemic review of the accuracy of diagnostic tests. Spine; 31(10): 1168–1176.

    Article  Google Scholar 

  9. Katz JN, Stucki G, Lipson SJ et al (1999) Predictors of surgical outcome in degenerative lumbar spinal stenosis. Spine; 24: 2229–2233.

    Article  CAS  PubMed  Google Scholar 

  10. Katz JN, Lipson SJ, Brick GW et al (1995) Clinical correlates of patient satisfaction after laminectomy for degenerative lumbar spinal stenosis. Spine; 20:1155–1160.

    Article  CAS  PubMed  Google Scholar 

  11. Airaksinen o, Herno A, Turunen V et al (1997) Surgical outcome of 438 patients treated surgically for lumbar spinal stenosis. Spine; 22: 2278–2282.

    Article  CAS  PubMed  Google Scholar 

  12. Johnsson KE, Uden A, Rossen I (1991) The effect of decompression on the natural course of spinal stenosis. A comparison of surgically treated and untreated patients. Spine; 16: 615–619.

    Article  CAS  PubMed  Google Scholar 

  13. Gunzburg R, Keller TS, Szpalski M et al (2003) Clinical and psychofunctional measures of conservative decompression surgery for lumbar spinal stenosis: a prospective cohort study.Eur Spine J; 12: 197–204.

    Article  CAS  PubMed  Google Scholar 

  14. Jönsson B, Stromqvist B (1994) Lumbar spine surgery in the elderly. Complications and surgical results. Spine: 19: 1431–1435.

    Article  PubMed  Google Scholar 

  15. Benz RJ, Ibrahim ZG, Afshr P et al (2001) Predicting complications in elderly patients undergoing lumbar decompression. Clinical Orthop; 384: 116–121.

    Article  Google Scholar 

  16. Reindl R, Steffen T, Cohen L et al (2003) Elective lumbar spinal decompression in the elderly: Is it a high risk operation? Can J Surgery; 46: 43–46.

    Google Scholar 

  17. Turner JA, Ersek M, Herron L et al (1992) Surgery for lumbar spinal stenosis. Attempted meta-analysis of literature. Spine; 17: 1–8.

    Article  CAS  PubMed  Google Scholar 

  18. Kalbarczyk A, Lukes A, Seiler RW (1998) Surgical treatment of lumbar spinal stenosis in the elderly. Acta Neurochir; 140: 637–641.

    Article  CAS  PubMed  Google Scholar 

  19. Galliano K, Obwegeser A, Gabl MV et al (2005) Long term outcome of laminectomy for spinal stenosis in Octagenarians. Spine; 30(3): 332–335.

    Article  Google Scholar 

  20. Guiot BH, Khoo LT, Fessler RG (2002) A minimally invasive technique for decompression of the lumbar spine. Spine; 27: 432–438.

    Article  PubMed  Google Scholar 

  21. Zucherman, J; Hsu, K; Hartjen, C; Mehalic, Thomas F; Implicito, D et al (2005) Multicenter, Prospective, Randomized Trial Evaluating the X STOP Interspinous Process Decompression System for the Treatment of Neurogenic Intermittent Claudication: Two-Year Follow-Up Results. Spine. 30(12):1351–1358

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to A. K. Bhadra.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bhadra, A.K., Raman, A.S., Tucker, S. et al. Interspinous implant in lumbar spinal stenosis: a prospective cohort. ArgoSpine News J 21, 142–144 (2009). https://doi.org/10.1007/s12240-009-0029-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12240-009-0029-8

Keywords

Navigation