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Surgical Approaches for Degenerative Lumbar Stenosis 

Surgical Approaches for Degenerative Lumbar Stenosis
Chapter:
Surgical Approaches for Degenerative Lumbar Stenosis
Author(s):

Doniel Drazin

, Carlito Lagman

, Christine Piper

, Ari Kappel

, and Terrence T. Kim

DOI:
10.1093/med/9780199350940.003.0018
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date: 23 October 2019

This chapter discusses the evaluation of patients presenting with low back pain and the surgical management of three common causes of low back pain in adults: stenosis, spondylolisthesis, and scoliosis. Components of the history and physical examination, diagnostic imaging, and ancillary studies are reviewed. Surgical management includes decompression including laminectomy or laminotomy, and instrumented fusion. Indications, contraindications, general procedural steps, and potential complications are covered. Recent published literature is reviewed when appropriate.

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