{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T22:43:46Z","timestamp":1778539426369,"version":"3.51.4"},"reference-count":39,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2021,8]]},"DOI":"10.1016\/j.wneu.2021.06.016","type":"journal-article","created":{"date-parts":[[2021,6,12]],"date-time":"2021-06-12T19:44:57Z","timestamp":1623527097000},"page":"95-106","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"special_numbering":"C","title":["Evaluation of Effectiveness of Treatment Strategies for Degenerative Lumbar Spinal Stenosis: A Systematic Review and Network Meta-Analysis of Clinical Studies"],"prefix":"10.1016","volume":"152","author":[{"given":"Haijun","family":"Ma","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bao","family":"Hai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming","family":"Yan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoguang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8389-5097","authenticated-orcid":false,"given":"Bin","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2021.06.016_bib1","doi-asserted-by":"crossref","first-page":"1622","DOI":"10.1002\/pmic.201400442","article-title":"Proteomic analysis of ligamentum flavum from patients with lumbar spinal stenosis","volume":"15","author":"Kamita","year":"2015","journal-title":"Proteomics"},{"key":"10.1016\/j.wneu.2021.06.016_bib2","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1007\/s00586-013-3116-7","article-title":"Spinal canal morphology and clinical outcomes of microsurgical bilateral decompression via a unilateral approach for lumbar spinal canal stenosis","volume":"23","author":"Choi","year":"2014","journal-title":"Eur Spine J"},{"issue":"suppl 4","key":"10.1016\/j.wneu.2021.06.016_bib3","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1227\/NEU.0000000000000953","article-title":"The aging of the global population: the changing epidemiology of disease and spinal disorders","volume":"77","author":"Fehlings","year":"2015","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2021.06.016_bib4","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1007\/s00586-009-1155-x","article-title":"Transforaminal endoscopic surgery for symptomatic lumbar disc herniations: a systematic review of the literature","volume":"19","author":"Nellensteijn","year":"2010","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2021.06.016_bib5","doi-asserted-by":"crossref","first-page":"28","DOI":"10.14444\/2028","article-title":"Cost-effectiveness of three treatment strategies for lumbar spinal stenosis: conservative care, laminectomy, and the superioninterspinous spacer","volume":"9","author":"Parker","year":"2015","journal-title":"Int J Spine Surg"},{"key":"10.1016\/j.wneu.2021.06.016_bib6","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1007\/s00586-018-5710-1","article-title":"The prevalence and impact of frailty in patients with symptomatic lumbar spinal stenosis","volume":"28","author":"Kim","year":"2019","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2021.06.016_bib7","first-page":"CD010264","article-title":"Surgical versus non-surgical treatment for lumbar spinal stenosis","volume":"2016","author":"Zaina","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.wneu.2021.06.016_bib8","doi-asserted-by":"crossref","first-page":"h6234","DOI":"10.1136\/bmj.h6234","article-title":"Management of lumbar spinal stenosis","volume":"352","author":"Lurie","year":"2016","journal-title":"BMJ"},{"key":"10.1016\/j.wneu.2021.06.016_bib9","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jos.2016.12.022","article-title":"Minimally invasive decompression surgery for lumbar spinal stenosis with degenerative scoliosis: predictive factors of radiographic and clinical outcomes","volume":"22","author":"Minamide","year":"2017","journal-title":"J\u00a0Orthop Sci"},{"key":"10.1016\/j.wneu.2021.06.016_bib10","doi-asserted-by":"crossref","first-page":"e15635","DOI":"10.1097\/MD.0000000000015635","article-title":"Percutaneous endoscopic decompression for lumbar spinal stenosis: protocol for a systematic review and network meta-analysis","volume":"98","author":"Liu","year":"2019","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.wneu.2021.06.016_bib11","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1177\/1536867X0900900202","article-title":"Updated tests for small-study effects in meta-analyses","volume":"9","author":"Harbord","year":"2009","journal-title":"Stata J"},{"key":"10.1016\/j.wneu.2021.06.016_bib12","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1056\/NEJMoa1508788","article-title":"Laminectomy plus fusion versus laminectomy alone for lumbar spondylolisthesis","volume":"374","author":"Ghogawala","year":"2016","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.wneu.2021.06.016_bib13","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1016\/j.clineuro.2014.07.004","article-title":"Interspinous spacer decompression (X-STOP) for lumbar spinal stenosis and degenerative disk disease: a multicenter study with a minimum 3-year follow-up","volume":"124","author":"Puzzilli","year":"2014","journal-title":"Clin Neurol Neurosurg"},{"key":"10.1016\/j.wneu.2021.06.016_bib14","doi-asserted-by":"crossref","first-page":"1400","DOI":"10.12659\/MSM.890545","article-title":"Evaluation of functional outcomes in individuals 10 years after posterior lumbar interbody fusion with corundum implants and decompression: a comparison of 2 surgical techniques","volume":"20","author":"Truszczy\u0144ska","year":"2014","journal-title":"Med Sci Monit"},{"key":"10.1016\/j.wneu.2021.06.016_bib15","first-page":"4481","article-title":"Middle-period curative effect of posterior lumbar intervertebral fusion (PLIF) and interspinous dynamic fixation (Wallis) for treatment of L45 degenerative disease and its influence on adjacent segment degeneration","volume":"19","author":"Yue","year":"2015","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"10.1016\/j.wneu.2021.06.016_bib16","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/WNQ.0b013e3181ebb0ea","article-title":"Dynamic stabilization using X-stop versus transpedicular screw fixation in the treatment of lumbar canal stenosis; comparative study of the clinical outcome","volume":"20","author":"Azzazi","year":"2010","journal-title":"Neurosurg Q"},{"key":"10.1016\/j.wneu.2021.06.016_bib17","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/BSD.0b013e3181a3d889","article-title":"Microdecompressive laminatomy with a 5-year follow-up period for severe lumbar spinal stenosis","volume":"23","author":"Celik","year":"2010","journal-title":"J\u00a0Spinal Disord Tech"},{"key":"10.1016\/j.wneu.2021.06.016_bib18","doi-asserted-by":"crossref","first-page":"383","DOI":"10.36076\/ppj.2018.4.383","article-title":"Clinical outcomes of posterolateral fusion vs. posterior lumbar interbody fusion in patients with lumbar spinal stenosis and degenerative instability","volume":"21","author":"Farrokhi","year":"2018","journal-title":"Pain Physician"},{"key":"10.1016\/j.wneu.2021.06.016_bib19","doi-asserted-by":"crossref","first-page":"7214129","DOI":"10.1155\/2019\/7214129","article-title":"Microdecompression versus open laminectomy and posterior stabilization for multilevel lumbar spine stenosis: a randomized controlled trial","volume":"2019","author":"Hamawandi","year":"2019","journal-title":"Pain Res Manag"},{"key":"10.1016\/j.wneu.2021.06.016_bib20","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1080\/17434440.2019.1599282","article-title":"Treatment for lumbar spinal stenosis in elderly patients using percutaneous endoscopic lumbar discectomy combined with postoperative three-dimensional traction","volume":"16","author":"Hu","year":"2019","journal-title":"Expert Rev Med Devices"},{"key":"10.1016\/j.wneu.2021.06.016_bib21","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1186\/s13018-019-1298-3","article-title":"Comparison of bilateral decompression via unilateral laminotomy and conventional laminectomy for single-level degenerative lumbar spinal stenosis regarding low back pain, functional outcome, and quality of life\u2013a randomized controlled, prospective trial","volume":"14","author":"Ko","year":"2019","journal-title":"J\u00a0Orthop Surg Res"},{"key":"10.1016\/j.wneu.2021.06.016_bib22","doi-asserted-by":"crossref","first-page":"61","DOI":"10.36076\/ppj\/2015.18.61","article-title":"Bilateral spinal decompression of lumbar central stenosis with the full-endoscopic interlaminar versus microsurgical laminotomy technique: a prospective, randomized, controlled study","volume":"18","author":"Komp","year":"2015","journal-title":"Pain Physician"},{"key":"10.1016\/j.wneu.2021.06.016_bib23","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1097\/BRS.0000000000000691","article-title":"Minimally invasive decompression versus x-stop in lumbar spinal stenosis: a randomized controlled multicenter study","volume":"40","author":"L\u00f8nne","year":"2015","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2021.06.016_bib24","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/01.brs.0000251014.81875.6d","article-title":"Surgical or nonoperative treatment for lumbar spinal stenosis? A randomized controlled trial","volume":"32","author":"Malmivaara","year":"2007","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2021.06.016_bib25","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1093\/neuros\/nyx326","article-title":"Percutaneous interspinous spacer vs decompression in patients with neurogenic claudication: an alternative in selected patients?","volume":"82","author":"Meyer","year":"2018","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2021.06.016_bib26","doi-asserted-by":"crossref","first-page":"2295","DOI":"10.1007\/s00586-014-3748-2","article-title":"Leiden the Hague Spine Intervention Prognostic Study Group (SIPS). IPD without bony decompression versus conventional surgical decompression for lumbar spinal stenosis: 2-year results of a double-blind randomized controlled trial","volume":"24","author":"Moojen","year":"2015","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2021.06.016_bib27","doi-asserted-by":"crossref","first-page":"1413","DOI":"10.1056\/NEJMoa1513721","article-title":"A\u00a0randomized, controlled trial of fusion surgery for lumbar spinal stenosis","volume":"374","author":"F\u00f6rsth","year":"2016","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.wneu.2021.06.016_bib28","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1016\/j.wneu.2016.07.095","article-title":"Evaluation of interspinous spacer outcomes in degenerative lumbar canal stenosis: clinical study","volume":"95","author":"Abdel Ghany","year":"2016","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2021.06.016_bib29","doi-asserted-by":"crossref","first-page":"h1603","DOI":"10.1136\/bmj.h1603","article-title":"Minimally invasive decompression versus open laminectomy for central stenosis of the lumbar spine: pragmatic comparative effectiveness study","volume":"350","author":"Nerland","year":"2015","journal-title":"BMJ"},{"key":"10.1016\/j.wneu.2021.06.016_bib30","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1097\/BSD.0b013e31825f7203","article-title":"Two-year follow-up after decompressive surgery with and without implantation of an interspinous device for lumbar spinal stenosis: a prospective controlled study","volume":"27","author":"Richter","year":"2014","journal-title":"J\u00a0Spinal Disord Tech"},{"key":"10.1016\/j.wneu.2021.06.016_bib31","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1055\/s-0030-1263108","article-title":"Clinical outcomes and quality of life 1 year after open microsurgical decompression or implantation of an interspinous stand-alone spacer","volume":"53","author":"Sobottke","year":"2010","journal-title":"Minim Invasive Neurosurg"},{"key":"10.1016\/j.wneu.2021.06.016_bib32","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1038\/sc.2014.100","article-title":"Clinical analysis following lumbar interspinous devices implant: where we are and where we go","volume":"52","author":"Grasso","year":"2014","journal-title":"Spinal Cord"},{"key":"10.1016\/j.wneu.2021.06.016_bib33","doi-asserted-by":"crossref","first-page":"e19457","DOI":"10.1097\/MD.0000000000019457","article-title":"Decompression alone versus fusion and Coflex in the treatment of lumbar degenerative disease: a network meta-analysis","volume":"99","author":"Fan","year":"2020","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.wneu.2021.06.016_bib34","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1177\/2192568220938024","article-title":"Safety of lumbar interbody fusion procedures for degenerative disc disease: a systematic review with network meta-analysis of prospective studies","volume":"11","author":"Chi","year":"2021","journal-title":"Glob Spine J"},{"key":"10.1016\/j.wneu.2021.06.016_bib35","first-page":"423","article-title":"Interspinous process decompression with the Superion(\u00ae) spacer for lumbar spinal stenosis: real-world experience from a device registry","volume":"12","author":"Tekmyster","year":"2019","journal-title":"Med Devices (Auckl)"},{"key":"10.1016\/j.wneu.2021.06.016_bib36","doi-asserted-by":"crossref","first-page":"1596","DOI":"10.1007\/s00586-011-1873-8","article-title":"Effectiveness of interspinous implant surgery in patients with intermittent neurogenic claudication: a systematic review and meta-analysis","volume":"20","author":"Moojen","year":"2011","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2021.06.016_bib37","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.clineuro.2018.06.030","article-title":"Comparative effectiveness and safety of posterior lumbar interbody fusion, Coflex, Wallis, and X-stop for lumbar degenerative diseases: a systematic review and network meta-analysis","volume":"172","author":"Mo","year":"2018","journal-title":"Clin Neurol Neurosurg"},{"key":"10.1016\/j.wneu.2021.06.016_bib38","doi-asserted-by":"crossref","first-page":"2139","DOI":"10.1007\/s00701-014-2186-6","article-title":"Management of lumbar spinal stenosis: a survey among Dutch spine surgeons","volume":"156","author":"Overdevest","year":"2014","journal-title":"Acta Neurochir (Wien)"},{"key":"10.1016\/j.wneu.2021.06.016_bib39","doi-asserted-by":"crossref","first-page":"e0122800","DOI":"10.1371\/journal.pone.0122800","article-title":"Effectiveness of surgery for lumbar spinal stenosis: a systematic review and meta-analysis","volume":"10","author":"Machado","year":"2015","journal-title":"PLoS One"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S187887502100841X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S187887502100841X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T08:59:49Z","timestamp":1761814789000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S187887502100841X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8]]},"references-count":39,"alternative-id":["S187887502100841X"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2021.06.016","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2021,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Evaluation of Effectiveness of Treatment Strategies for Degenerative Lumbar Spinal Stenosis: A Systematic Review and Network Meta-Analysis of Clinical Studies","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2021.06.016","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}