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Interspinous Process Spacers for Indirect Lumbar Decompression

  • Jonathan D. Carlson
  • W. Porter McRoberts
  • Jeffery Rowe
Chapter

Abstract

Interspinous process spacers fill a significant gap in the treatment algorithm for lumbar spinal stenosis between conservative treatment options, such as physical therapy, injections, and medications, and, at the other end of the spectrum, surgical treatments (e.g., open laminectomy). There is strong clinical evidence that, for properly selected patients with neurogenic intermittent claudication secondary to moderate lumbar spinal stenosis, such spacers can provide significant relief of pain and reductions in physical disability. Interspinous process spacers can be implanted in a minimally invasive procedure, reducing the risk of complications.

Keywords

Interspinous process spacer Spinal spacer Intermittent neurogenic claudication Lumbar spinal stenosis Indirect decompression 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Jonathan D. Carlson
    • 1
    • 2
    • 3
  • W. Porter McRoberts
    • 4
  • Jeffery Rowe
    • 5
  1. 1.Hawaii Pain & SpineKailuaUSA
  2. 2.Midwestern Medical SchoolGlendaleUSA
  3. 3.Hawaii Pain & Spine, Arizona PainKailuaUSA
  4. 4.FAAPMR ABPMR ABA/Pain, University of Miami School of MedicineMiamiUSA
  5. 5.Main Line Spine & Main Line Spine Surgery CenterKing of PrussiaUSA

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