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Initial kommen konservative Therapien zum Einsatz, sie f\u00fchren jedoch nicht zu einer Behebung der pathologischen Ver\u00e4nderungen. Die operative Erweiterung des Spinalkanals ist zielf\u00fchrend.<\/jats:p><\/jats:sec><jats:sec><jats:title>Fragestellung<\/jats:title><jats:p>Minimalisierung operativer Zugangsstrategien bei effektiver Dekompression im Spinalkanal unter Vermeidung der Nachteile makrochirurgischer Operationstechniken, monolateraler paravertebraler Zugang f\u00fcr eine bilaterale intraspinale Dekompression, spezielle Operationstechniken.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material und Methoden<\/jats:title><jats:p>Beschrieben werden minimal-invasive Dekompressionsverfahren unter Einsatz von Mikroskop und Endoskop. Dabei werden verschiedene operative Strategien in Abh\u00e4ngigkeit von dem Ausma\u00df (mono-, bi- und multisegmental) und der Lokalisation der Stenose (intraspinal zentral, Recessus lateralis, foraminal) vorgestellt.<\/jats:p><\/jats:sec><jats:sec><jats:title>Ergebnisse<\/jats:title><jats:p>Minimal-invasive mikroskopische und endoskopische Dekompressionsverfahren erm\u00f6glichen eine suffiziente Erweiterung des Spinalkanals. Nachteile makroskopischer Operationsmethoden (z.\u202fB. postoperative Instabilit\u00e4t) werden vermieden. Das Komplikationspotenzial ist teilweise \u00e4hnlich dem makroskopischer Eingriffe, jedoch in der Auspr\u00e4gung deutlich reduziert. Das subjektive Outcome f\u00fcr die Patienten ist sp\u00fcrbar besser.<\/jats:p><\/jats:sec><jats:sec><jats:title>Schlussfolgerungen<\/jats:title><jats:p>Unter Hinweis auf moderne minimal-invasive Dekompressionsverfahren stellt die Operation der lumbalen Spinalkanalstenose eine sinnvolle und logische Behandlungsalternative dar, da nur operativ eine kausale Therapie der Pathologie m\u00f6glich ist.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00132-019-03732-7","type":"journal-article","created":{"date-parts":[[2019,5,3]],"date-time":"2019-05-03T14:05:42Z","timestamp":1556892342000},"page":"824-830","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Minimal-invasive Dekompressionsverfahren der\u00a0Spinalkanalstenose","Minimally invasive decompression techniques for spinal cord stenosis"],"prefix":"10.1007","volume":"48","author":[{"given":"A.","family":"Korge","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Mehren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Ruetten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,5,3]]},"reference":[{"key":"3732_CR1","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1227\/00006123-198807000-00021","volume":"23","author":"J Aryanpur","year":"1988","unstructured":"Aryanpur J, Ducker T (1988) Multilevel lumbar laminotomies: an alternative to laminectomy in the treatment of lumbar stenosis. 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Der englische Beitragstitel","order":4,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 January 2020","order":3,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Erratum","order":3,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Erratum zu:","order":4,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"A.\u00a0Korge, C.\u00a0Mehren und S.\u00a0Ruetten geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}