TY - JOUR
T1 - Best Practices for Minimally Invasive Lumbar Spinal Stenosis Treatment 2.0 (MIST)
T2 - Consensus Guidance from the American Society of Pain and Neuroscience (ASPN)
AU - Deer, Timothy R.
AU - Grider, Jay S.
AU - Pope, Jason E.
AU - Lamer, Tim J.
AU - Wahezi, Sayed E.
AU - Hagedorn, Jonathan M.
AU - Falowski, Steven
AU - Tolba, Reda
AU - Shah, Jay M.
AU - Strand, Natalie
AU - Escobar, Alex
AU - Malinowski, Mark
AU - Bux, Anjum
AU - Jassal, Navdeep
AU - Hah, Jennifer
AU - Weisbein, Jacqueline
AU - Tomycz, Nestor D.
AU - Jameson, Jessica
AU - Petersen, Erika A.
AU - Sayed, Dawood
N1 - Publisher Copyright:
© 2022 Deer et al.
PY - 2022
Y1 - 2022
N2 - Introduction: Lumbar spinal stenosis (LSS) is a common spinal disease of aging with a growing patient population, paralleling population growth. Minimally invasive treatments are evolving, and the use of these techniques needs guidance to provide the optimal patient safety and efficacy outcomes. Methods: The American Society of Pain and Neuroscience (ASPN) identified an educational need for guidance on the prudent use of the innovative minimally invasive surgical therapies for the treatment of symptomatic LSS. The executive board nominated experts spanning anesthesiology, physiatry, orthopedic surgery, and neurosurgery based on expertise, publications, research, diversity and field of practice. Evidence was reviewed, graded using the United States Preventive Services Task Force (USPSTF) criteria for evidence and recommendation strength and grade, and expert opinion was added to make consensus points for best practice. Results: The world literature in English was searched using Medline, EMBASE, Cochrane CENTRAL, BioMed Central, Web of Science, Google Scholar, PubMed, Current Contents Connect, Scopus, and meeting abstracts to identify and compile the evidence (per section) for LSS-related pain. Search words were selected based upon the section represented. Identified peer-reviewed literature was critiqued using USPSTF criteria and consensus points are presented. Discussion: The algorithm for patient selection in the management of symptomatic spinal stenosis is evolving. Careful consideration of patient selection and anatomic architecture variance is critical for improved outcomes and patient safety. Conclusion: ASPN created a guidance for best practice for minimally invasive surgical treatment of symptomatic spinal stenosis.
AB - Introduction: Lumbar spinal stenosis (LSS) is a common spinal disease of aging with a growing patient population, paralleling population growth. Minimally invasive treatments are evolving, and the use of these techniques needs guidance to provide the optimal patient safety and efficacy outcomes. Methods: The American Society of Pain and Neuroscience (ASPN) identified an educational need for guidance on the prudent use of the innovative minimally invasive surgical therapies for the treatment of symptomatic LSS. The executive board nominated experts spanning anesthesiology, physiatry, orthopedic surgery, and neurosurgery based on expertise, publications, research, diversity and field of practice. Evidence was reviewed, graded using the United States Preventive Services Task Force (USPSTF) criteria for evidence and recommendation strength and grade, and expert opinion was added to make consensus points for best practice. Results: The world literature in English was searched using Medline, EMBASE, Cochrane CENTRAL, BioMed Central, Web of Science, Google Scholar, PubMed, Current Contents Connect, Scopus, and meeting abstracts to identify and compile the evidence (per section) for LSS-related pain. Search words were selected based upon the section represented. Identified peer-reviewed literature was critiqued using USPSTF criteria and consensus points are presented. Discussion: The algorithm for patient selection in the management of symptomatic spinal stenosis is evolving. Careful consideration of patient selection and anatomic architecture variance is critical for improved outcomes and patient safety. Conclusion: ASPN created a guidance for best practice for minimally invasive surgical treatment of symptomatic spinal stenosis.
KW - epidural steroid injections
KW - interspinous spacers
KW - intrathecal drug delivery
KW - neurostimulation
KW - open decompression
KW - percutaneous image-guided lumbar decompression
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U2 - 10.2147/JPR.S355285
DO - 10.2147/JPR.S355285
M3 - Review article
AN - SCOPUS:85130263110
SN - 1178-7090
VL - 15
SP - 1325
EP - 1354
JO - Journal of Pain Research
JF - Journal of Pain Research
ER -