Mobility-Preserving Surgery for Lumbar Spinal Stenosis: WFNS Spine Committee Recommendations.
ASD, Adjacent segment disease
Adjacent segment disease
Dynamic stabilization of lumbar spine
HSD, Hybrid stabilization device
IPD, Interspinous process device
Interspinous process devices
LSS, Lumbar spinal stenosis
Lumbar spinal stenosis
MISS, Minimally invasive spine surgery
PEEK, Polyether ether ketone
Spinal mobility
Journal
World neurosurgery: X
ISSN: 2590-1397
Titre abrégé: World Neurosurg X
Pays: United States
ID NLM: 101747743
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
14
01
2020
accepted:
12
03
2020
entrez:
3
7
2020
pubmed:
3
7
2020
medline:
3
7
2020
Statut:
epublish
Résumé
Although decompression is the basis of surgical treatment for lumbar spinal stenosis (LSS), under various circumstances instrumented fusion is performed as well. The rationale for mobility-preserving operations for LSS is preventing adjacent segment disease (ASD). We review the rationale for mobility preservation in ASD and discuss related topics such as indications for fusion and the evolving role of minimally invasive approaches to lumbar spine decompression. Our focus is on systematic review and consensus discussion of mobility-preserving surgical methods as related to surgery for LSS. Groups of spinal surgeons (members of the World Federation of Neurosurgical Societies Spine Committee) performed systematic reviews of dynamic fixation systems, including hybrid constructs, and of interspinous process devices; consensus statements were generated based on the reviews at 2 voting sessions by the committee several months apart. Additional review of background data was performed, and the results summarized in this review. Decompression is the basis of surgical treatment of LSS. Fusion is an option, especially when spondylolisthesis or instability are present, but indications remain controversial. ASD incidence reports show high variability. ASD may represent the natural progression of degenerative disease in many cases. Older age, poor sagittal balance, and multilevel fusion may be associated with more ASD. Dynamic fixation constructs are treatment options that may help prevent ASD.
Sections du résumé
BACKGROUND
BACKGROUND
Although decompression is the basis of surgical treatment for lumbar spinal stenosis (LSS), under various circumstances instrumented fusion is performed as well. The rationale for mobility-preserving operations for LSS is preventing adjacent segment disease (ASD). We review the rationale for mobility preservation in ASD and discuss related topics such as indications for fusion and the evolving role of minimally invasive approaches to lumbar spine decompression. Our focus is on systematic review and consensus discussion of mobility-preserving surgical methods as related to surgery for LSS.
METHODS
METHODS
Groups of spinal surgeons (members of the World Federation of Neurosurgical Societies Spine Committee) performed systematic reviews of dynamic fixation systems, including hybrid constructs, and of interspinous process devices; consensus statements were generated based on the reviews at 2 voting sessions by the committee several months apart. Additional review of background data was performed, and the results summarized in this review.
RESULTS
RESULTS
Decompression is the basis of surgical treatment of LSS. Fusion is an option, especially when spondylolisthesis or instability are present, but indications remain controversial. ASD incidence reports show high variability. ASD may represent the natural progression of degenerative disease in many cases. Older age, poor sagittal balance, and multilevel fusion may be associated with more ASD. Dynamic fixation constructs are treatment options that may help prevent ASD.
Identifiants
pubmed: 32613191
doi: 10.1016/j.wnsx.2020.100078
pii: S2590-1397(20)30009-0
pii: 100078
pmc: PMC7322805
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100078Informations de copyright
© 2020 The Authors.
Références
Eur Spine J. 2009 Nov;18(11):1637-43
pubmed: 19533182
Spine (Phila Pa 1976). 2014 Mar 1;39(5):E339-45
pubmed: 24365899
J Spinal Disord Tech. 2009 Oct;22(7):463-7
pubmed: 20075807
N Engl J Med. 2016 Apr 14;374(15):1413-23
pubmed: 27074066
J Neurosurg Sci. 2015 Mar;59(1):37-45
pubmed: 25370820
Spine (Phila Pa 1976). 2007 Sep 15;32(20):2253-7
pubmed: 17873819
Acta Neurochir (Wien). 2013 May;155(5):757-64
pubmed: 23468038
Biomed Res Int. 2014;2014:975052
pubmed: 24822224
Int J Spine Surg. 2018 Aug 3;12(2):201-240
pubmed: 30276080
Global Spine J. 2018 Oct;8(7):722-727
pubmed: 30443483
Cureus. 2016 Jun 10;8(6):e637
pubmed: 27433416
J Spine Surg. 2016 Mar;2(1):31-40
pubmed: 27683693
N Engl J Med. 2016 Apr 14;374(15):1424-34
pubmed: 27074067
World Neurosurg. 2018 Feb;110:e567-e571
pubmed: 29158095
Spine (Phila Pa 1976). 2011 Sep 1;36(19):1600-7
pubmed: 21242863
Spine (Phila Pa 1976). 2015 Jan 15;40(2):77-85
pubmed: 25575084
Spine (Phila Pa 1976). 2010 Mar 15;35(6):625-34
pubmed: 20195214
Eur Spine J. 2009 Aug;18(8):1175-86
pubmed: 19337757
J Orthop Surg Res. 2018 Aug 9;13(1):196
pubmed: 30092790
Clin Spine Surg. 2016 Mar;29(2):72-7
pubmed: 26889990
Asian Spine J. 2017 Oct;11(5):715-721
pubmed: 29093780
PLoS One. 2017 Feb 13;12(2):e0172329
pubmed: 28192498
Eur Spine J. 2005 Sep;14(7):659-63
pubmed: 15754213
Korean J Spine. 2012 Jun;9(2):102-7
pubmed: 25983797
J Neurosurg Spine. 2010 Jun;12(6):671-9
pubmed: 20515354
J Spinal Disord Tech. 2008 Jul;21(5):305-9
pubmed: 18600137
Spine (Phila Pa 1976). 2003 Sep 15;28(18):2122-31
pubmed: 14501924
Eur Spine J. 2009 Jun;18(6):815-22
pubmed: 19330364
Neurosurg Focus. 2011 Oct;31(4):E9
pubmed: 21961872
J Neurosurg Spine. 2015 Aug;23(2):190-6
pubmed: 25932598
Spine (Phila Pa 1976). 2004 Apr 1;29(7):735-42
pubmed: 15087795
Spine (Phila Pa 1976). 2016 Jan;41(2):E91-E100
pubmed: 26555839
Curr Rev Musculoskelet Med. 2017 Jun;10(2):189-198
pubmed: 28332140
J Spinal Disord Tech. 2008 Apr;21(2):79-85
pubmed: 18391709
Neurosurgery. 2018 May 1;82(5):621-629
pubmed: 28973638
J Neurosurg Spine. 2015 Apr;22(4):339-52
pubmed: 25635635
Eur Spine J. 2017 Mar;26(3):806-815
pubmed: 27448810
J Bone Joint Surg Am. 1999 Apr;81(4):519-28
pubmed: 10225797
PLoS One. 2018 Jul 6;13(7):e0199623
pubmed: 29979691
Medicine (Baltimore). 2018 Jun;97(22):e10854
pubmed: 29851799
Biomed Res Int. 2017;2017:4385620
pubmed: 28321409
SAS J. 2011 Jun 01;5(2):36-43
pubmed: 25802666
Asian Spine J. 2018 Apr;12(2):263-271
pubmed: 29713407
Spine (Phila Pa 1976). 2010 Dec 1;35(25):E1499-506
pubmed: 21102279
Exp Ther Med. 2018 Jan;15(1):667-672
pubmed: 29399069
Br J Sports Med. 2015 Jan;49(2):135
pubmed: 25552601
J Spine Surg. 2018 Mar;4(1):93-101
pubmed: 29732428
J Radiol. 2008 May;89(5 Pt 2):654-63; quiz 664-6
pubmed: 18535512
Spine J. 2009 May;9(5):374-86
pubmed: 18805066
Neurosurgery. 2017 Mar 1;80(3):355-367
pubmed: 28362963
Global Spine J. 2018 Jun;8(4):382-387
pubmed: 29977724
Eur Spine J. 2008 Aug;17(8):1049-56
pubmed: 18584219
Spine J. 2011 Jan;11(1):11-20
pubmed: 21168094
J Orthop Sci. 2017 Nov;22(6):982-987
pubmed: 28807742
Asian Spine J. 2013 Dec;7(4):273-81
pubmed: 24353843