Current techniques of decompression of the lumbar spine.

Abstract

Lumbar spinal decompression is a commonly performed procedure. Although the conventional open techniques of decompression remain the gold standard of treatment, problems with paraspinal musculature denervation and resultant lumbar instability have focused attention on less invasive techniques. A multitude of spinal instrumentation systems have been developed to stabilize the spine and improve arthrodesis rates. A stronger emphasis on restoration of anterior column height and stability has increased the use of anterior interbody fusion devices. Developing technology is allowing for better visualization and possibly improved outcomes with minimally-invasive techniques. The results of all lumbar decompressive and stabilization procedures however, remain closely related to careful patient selection.