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X-Ray Guided Technique in Lumbar Spinal Canal Stenosis: MILD

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Spinal Canal Stenosis

Part of the book series: New Procedures in Spinal Interventional Neuroradiology ((NPSIN))

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Abstract

Lumbar spinal stenosis (LSS) is a common degenerative disease of the lumbar spine that affects up to 8 % of the US population, particularly those over the age of 60 years [1–3]. If the stenosis is critically significant, neurogenic claudication can result from nerve root ischemia with the underlying causative theory being venous insufficiency as a result of venous constriction that becomes critically aggravated by exertion typically by standing a short time or walking a short distance.

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References

  1. Deyo RA, Mirza SK, Martin BI. Back pain prevalence and visit rates. Spine. 2006;31:2724–7.

    Article  PubMed  Google Scholar 

  2. Deyo RA, Weinstein JN. Low back pain. N Engl J Med. 2001;344:363–70.

    Article  CAS  PubMed  Google Scholar 

  3. Kalichman L, Cole R, Kim DH, et al. Spinal stenosis prevalence and association with symptoms: the Framingham study. Spine J. 2009;9:545–50.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Kawaguchi Y, Kanamori M, Ishihara H, et al. Clinical and radiographic results of expansive lumbar laminoplasty in patients with spinal stenosis. J Bone Joint Surg Am. 2004;86:1698–703.

    PubMed  Google Scholar 

  5. Benz RJ, Ibrahim ZG, Afshar P, et al. Predicting complications in elderly patients undergoing lumbar decompression. Clin Orthop Relat Res. 2001;384:116–21.

    Article  PubMed  Google Scholar 

  6. Katz JN, Lipson SJ, Chang LC, et al. Seven to 10-year outcome of decompressive surgery for degenerative lumbar spinal stenosis. Spine. 1996;21:92–8.

    Article  CAS  PubMed  Google Scholar 

  7. Johnsson KE, Willner S, Johnsson K. Postoperative instability after decompression for lumbar spinal stenosis. Spine. 1986;11:107–10.

    Article  CAS  PubMed  Google Scholar 

  8. Sihvonen T, Herno A, Paljärvi L, et al. Local denervation atrophy of paraspinal muscles in postoperative failed back syndrome. Spine. 1993;18:575–81.

    Article  CAS  PubMed  Google Scholar 

  9. Weinstein JN, et al. Surgical versus nonoperative treatment for lumbar spinal stenosis. Four year results of the spine patient outcomes research trial. Spine. 2010;35:1329–38.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Burnett MR, et al. Cost-effectiveness of current treatment strategies for lumbar spinal stenosis: nonsurgical care, laminectomy, and X-STOP. J Neurosurg Spine. 2010;13(1):39–46.

    Article  PubMed  Google Scholar 

  11. Patil CG, et al. Interspinous device versus laminectomy for lumbar spinal stenosis: a comparative effectiveness study. Spine J. 2013;pii: S1529–9430(13)01501-5.

    Google Scholar 

  12. Chopko B, Caraway DL. MIDAS 1 (mild® decompression alternative to open surgery): a preliminary report of a prospective, multi-center clinical study. Pain Physician. 2010;13:369–78.

    PubMed  Google Scholar 

  13. Chopko B. Long-term results of percutaneous lumbar decompression for LSS, two-year outcomes. Clin J Pain. 2013;29(11):939–43.

    Article  PubMed  Google Scholar 

  14. Lingreen R, Grider JS. Retrospective review of patient self-reported improvement and post-procedure findings for MILD (minimally invasive lumbar decompression). Pain Physician. 2010;13:555–60.

    PubMed  Google Scholar 

  15. Schomer DF, Solsberg D, Wong W, Chopko BW. MILD lumbar decompression for the treatment of spinal stenosis. Neuroradiol J. 2011;24:620–6.

    Article  CAS  PubMed  Google Scholar 

  16. Basu S. MILD procedure: single-site prospective IRB study. Clin J Pain. 2011;28(3):254–8.

    Article  Google Scholar 

  17. Wong W. Mild interlaminar decompression for the treatment of lumbar spinal stenosis, procedure description and case series with 1-year follow-up. Clin J Pain. 2012;28(6):534–8.

    Article  PubMed  Google Scholar 

  18. Deer TR, Kim CK, Bowman II RG, et al. Study of percutaneous lumbar decompression and treatment algorithm for patients suffering from neurogenic claudication. Pain Physician. 2012;15:451–60.

    PubMed  Google Scholar 

  19. Brown LL. A double-blind, randomized, prospective study of epidural steroid injection vs. the mild® procedure in patients with symptomatic lumbar spinal stenosis. Pain Pract. 2012;12(5):333–41.

    Article  PubMed  Google Scholar 

  20. Mekhail N, Costandi S, Abraham B, Samuel SW. Functional and patient-reported outcomes in symptomatic lumbar spinal stenosis following percutaneous decompression. Pain Pract. 2012;12(6):417–25.

    Article  PubMed  Google Scholar 

  21. Chopko BW. A novel method for treatment of lumbar spinal stenosis in high-risk surgical candidates: pilot study experience with percutaneous remodeling of ligamentum flavum and lamina. J Neurosurg Spine. 2011;14:46–50.

    Article  PubMed  Google Scholar 

  22. Levy RM, Deer TR. Systematic safety review and meta-analysis of procedural experience using percutaneous access to treat symptomatic lumbar spinal stenosis. Pain Med. 2012;13:154–1561.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas, USA

    John D. Barr

  2. Department of Neurosurgery, Stanford University, Stanford, California, USA

    Bohdan W. Chopko

  3. Department of Radiology, University of California San Diego, San Diego, California, USA

    Wade Wong D.O., F.A.C.R., F.A.O.C.R

Authors
  1. John D. Barr
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  2. Bohdan W. Chopko
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  3. Wade Wong D.O., F.A.C.R., F.A.O.C.R
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Corresponding author

Correspondence to John D. Barr .

Editor information

Editors and Affiliations

  1. Minimal Invasive Spine Therapy, Cannizzaro Hospital, Catania, Italy

    Luigi Manfrè

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© 2016 Springer International Publishing Switzerland

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Barr, J.D., Chopko, B.W., Wong, W. (2016). X-Ray Guided Technique in Lumbar Spinal Canal Stenosis: MILD. In: Manfrè, L. (eds) Spinal Canal Stenosis. New Procedures in Spinal Interventional Neuroradiology. Springer, Cham. https://doi.org/10.1007/978-3-319-26270-3_3

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  • DOI: https://doi.org/10.1007/978-3-319-26270-3_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-26268-0

  • Online ISBN: 978-3-319-26270-3

  • eBook Packages: MedicineMedicine (R0)

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