Evaluation of different surgical modalities in management of degenerative lumbar canal stenosis

Abstract

Degenerative lumbar spinal stenosis is one of common diseases in elderly, also may occur in younger ages, usually presents with back pain, lower limbs pain and claudication pain. Diagnosis is confirmed by radiological studies such as plain X rays LSS, CT. LSS or MRI LSS. Surgical treatment for lumbar spinal stenosis is indicated in patients with progressive neurological deficits or those who fail an appropriate trial of non-operative management. All the proposed surgical interventions have a common primary goal of neural element decompression. Different surgical procedures can be done for treatment of degenerative lumbar canal stenosis, including radical decompressive laminectomy with and without fixation or minimally invasive procedures. Each procedure has its advantages and its complications. So there must be a balance between safety and effectiveness to provide maximum benefit for the patient.