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Spinal Stenosis treatments

Summary

Spinal Stenosis treatments

There are two types of stenosis: lumbar stenosis and cervical stenosis. The most common surgical technique to treat spinal stenosis is a laminectomy. Modern techniques may use smaller access incisions to the narrowed bones, but the goals are the same. The area of bony compression is removed, and soft tissues such as hypertrophic ligamentum flavum are peeled off the the cal sac and out the neuroforamen. This technique can be used in the lumbar or cervical area.

In the cervical spine, sometimes much of the compression is located from the front of the spine, or, if there is a more forward bend to the neck (kyphosis), anterior decompression of the spine via anterior cervical discectomy/corpectomy with fusion (ACDF) may be the preferred surgery.

For patients with spinal instability as well as stenosis, or for patients that require such a decompression that they will become unstable after the decompression, the standard is to perform both a laminectomy decompression procedure as well as a fusion, which involves stabilizing the vertebrae so they will come together as one bone.

The success rate of spinal stenosis surgery depends greatly on the individual's spinal condition and teh skill of the specialist.

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