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MILD: Percutaneous Lumbar Decompression for Spinal Stenosis

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Advanced Procedures for Pain Management

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Abstract

Lumbar spinal stenosis (LSS), or the narrowing of the spinal canal and neuroforamina, is secondary to degenerative changes in the spine, causing hypertrophy of the ligamentum flavum, degenerative disc disease, facet arthropathy, and osteophyte formation (Fig. 2.1). Central LSS leads to compression of the spinal cord, and foraminal stenosis causes compression of exiting nerve root causing radiculopathy. The hallmark symptom of LSS is neurogenic claudication (NC), which is pain aggravated by axial extension and relieved by forward flexion. Patients with LSS may also present with radiculopathy described as radiating pain in a dermatomal distribution. LSS generally affects men and women after age 50.

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Authors and Affiliations

  1. Lenox Hill Hospital, New York, NY, USA

    Sudhir Diwan

  2. Manhattan Spine and Pain Medicine, New York, NY, USA

    Sudhir Diwan

  3. The Center for Pain Relief, Charleston, WV, USA

    Timothy R. Deer

  4. Wake Forest School of Medicine, Carolinas Pain Institute, Winston-Salem, NC, USA

    Leonardo Kapural

  5. Summit Pain Alliance, Santa Rosa, CA, USA

    Jason E. Pope

Authors
  1. Sudhir Diwan
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  2. Timothy R. Deer
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  3. Leonardo Kapural
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  4. Jason E. Pope
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Corresponding authors

Correspondence to Sudhir Diwan , Leonardo Kapural or Jason E. Pope .

Editor information

Editors and Affiliations

  1. Lenox Hill Hospital, New York, New York, USA

    Sudhir Diwan

  2. The Center for Pain Relief, Charleston, West Virginia, USA

    Timothy R Deer

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Diwan, S., Deer, T.R., Kapural, L., Pope, J.E. (2018). MILD: Percutaneous Lumbar Decompression for Spinal Stenosis. In: Diwan, S., Deer, T. (eds) Advanced Procedures for Pain Management. Springer, Cham. https://doi.org/10.1007/978-3-319-68841-1_2

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  • DOI: https://doi.org/10.1007/978-3-319-68841-1_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-68839-8

  • Online ISBN: 978-3-319-68841-1

  • eBook Packages: MedicineMedicine (R0)

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