TY - JOUR
T1 - Minimally invasive lumbar decompression
T2 - A review of indications, techniques, efficacy and safety
AU - Jain, Sameer
AU - Deer, Timothy
AU - Sayed, Dawood
AU - Chopra, Pooja
AU - Wahezi, Sayed
AU - Jassal, Navdeep
AU - Weisbein, Jackie
AU - Jameson, Jessica
AU - Malinowski, Mark
AU - Golovac, Stanley
N1 - Publisher Copyright:
© 2020 Sameer Jain.
PY - 2020/9
Y1 - 2020/9
N2 - Lumbar spinal stenosis is a common degenerative spine condition. In properly selected patients, minimally invasive lumbar decompression (mild®) may be an option to improve outcomes. This review provides an in-depth description of the mild procedure and a comprehensive examination of safety and efficacy. Two randomized controlled trials, together with 11 other controlled clinical studies, have established the efficacy of mild, which is a minimally invasive procedure that does not involve implants and has demonstrated excellent efficacy and safety. With an established safety profile equivalent to epidural steroid injections, and efficacy that has been shown to be superior to such injections, mild can reasonably be positioned early in the treatment algorithm for these patients. Based on extensive review of the literature, robust safety and efficacy through 2 years, and in accordance with minimally invasive spine treatment guidelines, mild is recommended as the first intervention after failure of conservative measures for lumbar spinal stenosis patients with neurogenic claudication and ligamentum flavum hypertrophy.
AB - Lumbar spinal stenosis is a common degenerative spine condition. In properly selected patients, minimally invasive lumbar decompression (mild®) may be an option to improve outcomes. This review provides an in-depth description of the mild procedure and a comprehensive examination of safety and efficacy. Two randomized controlled trials, together with 11 other controlled clinical studies, have established the efficacy of mild, which is a minimally invasive procedure that does not involve implants and has demonstrated excellent efficacy and safety. With an established safety profile equivalent to epidural steroid injections, and efficacy that has been shown to be superior to such injections, mild can reasonably be positioned early in the treatment algorithm for these patients. Based on extensive review of the literature, robust safety and efficacy through 2 years, and in accordance with minimally invasive spine treatment guidelines, mild is recommended as the first intervention after failure of conservative measures for lumbar spinal stenosis patients with neurogenic claudication and ligamentum flavum hypertrophy.
KW - ligamentum flavum hypertrophy
KW - lumbar spinal stenosis
KW - mild
KW - minimally invasive lumbar decompression
KW - neurogenic claudication
KW - review
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U2 - 10.2217/pmt-2020-0037
DO - 10.2217/pmt-2020-0037
M3 - Review article
C2 - 32609052
AN - SCOPUS:85103862005
SN - 1758-1869
VL - 10
SP - 331
EP - 348
JO - Pain Management
JF - Pain Management
IS - 5
ER -