By Luigi Manfrè (eds.)

This easy-to-consult advisor describes new minimally invasive systems for the therapy of spinal canal stenosis which are followed by means of fewer issues and side-effects, lessen the hazards of anesthesia, and decrease charges. transparent debts are supplied of assorted CT and X-ray guided suggestions for lumbar spinal canal and foraminal stenosis, together with using spacers and minimally invasive lumbar decompression (MILD). worthwhile introductory info is additionally supplied on biomechanics and indicators. Like different books within the Springer sequence New methods in Spinal Interventional Neuroradiology, this practice-oriented quantity will fill an important hole within the literature and meet the necessity expressed by way of loads of experts (interventional neuroradiologists and radiologists, neurosurgeons, and orthopedists) for a topical and convenient consultant that particularly illustrates the almost immediately to be had fabrics and methods.

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2008;17:1049–56. 27. Siddiqui M, Karadimas E, Nicol M, et al. Effects of X-Stop device on sagittal lumbar spine kinematics in spinal stenosis. J Spinal Disord Tech. 2006;19:328–33. 28. Fuchs PD, Lindsey DP, Hsu KY, et al. The use of an interspinous implant in conjunction with a graded facetectomy procedure. Spine. 2005;30:1266–72; discussion 73–4. 29. Sénégas J, Etchevers JP, Baulny D, Grenier F. Widening of the lumbar vertebral canal as an alternative to laminectomy, in the treatment of lumbar stenosis.

62. 63. 64. CT/X-Ray-Guided Technique in Lumbar Spinal Canal and Foramina Stenosis: Spacers 47 and degenerative disk disease: a multicenter study with a minimum 3-year follow-up. Clin Neurol Neurosurg. 2014;24:166–74. Lønne G, Johnsen LG, Rossvoll I, Andresen H, Storheim K, Zwart JA, Nygaard O. Minimally invasive decompression versus X-Stop in lumbar spinal stenosis: a randomized controlled multicenter study. Spine. 2015;2:63–127, E61–132. Moojen WA, Arts MP, Jacobs WC, van Zwet EW, van den Akker-van Marle ME, Koes BW, Vleggeert-Lankamp CL, Peul WC.

Unlike some other open spinal surgeries such as discectomy, lumbar laminectomy with possible fusion is a highly invasive procedure with a prolonged and difficult recovery period (Fig. 2). Contraindications to the MILD procedure include stenosis at a previous surgical site (due to postoperative scar or intervening bone fusion mass), stenosis at a highly unstable spinal segment, stenosis at a spinal segment not due to ligamentum flavum hypertrophy, underlying infection, unconsentable or noncompliant patient, and uncorrectable coagulopathy.

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