{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T10:56:36Z","timestamp":1774263396305,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,5,26]],"date-time":"2017-05-26T00:00:00Z","timestamp":1495756800000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:p>Lumbar spinal stenosis is typically a degenerative condition that leads to compression of the spinal canal and lateral recess, resulting in leg pain and walking disability. Surgical management is indicated after failure of non\u2010surgical management or rapidly worsening neurological impairment. The traditional approach is a laminectomy with foraminotomy and partial facetectomy but a newer minimally invasive option, unilateral laminectomy for bilateral decompression (<jats:styled-content style=\"fixed-case\">ULBD<\/jats:styled-content>), seems to demonstrate the better postoperative outcomes due to its unilateral exposure. <jats:styled-content style=\"fixed-case\">ULBD<\/jats:styled-content> involves a midline incision, opening the thoracolumbar fascia, retracting the paravertebral muscles unilaterally, then a hemilaminectomy, flavectomy, and decompression of the spinal canal with foraminotomy or partial facetectomy. The clinical decision on which side to approach spinal stenosis with <jats:styled-content style=\"fixed-case\">ULBD<\/jats:styled-content> has not been discussed in the literature. We have come up with an algorithm to decide which side to approach for <jats:styled-content style=\"fixed-case\">ULBD<\/jats:styled-content> based on position of spinous process and angulation, side of maximal compression, and surgeon handedness.<\/jats:p>","DOI":"10.1111\/os.12335","type":"journal-article","created":{"date-parts":[[2017,5,26]],"date-time":"2017-05-26T08:02:57Z","timestamp":1495785777000},"page":"241-246","source":"Crossref","is-referenced-by-count":23,"title":["Treatment of Lumbar Spinal Stenosis by Microscopic Unilateral Laminectomy for Bilateral Decompression: A Technical Note"],"prefix":"10.1111","volume":"9","author":[{"given":"Kevin","family":"Phan","sequence":"first","affiliation":[{"name":"NeuroSpine Surgery Research Group (NSURG), Prince of Wales Private Hospital  Randwick Australia"},{"name":"Faculty of Medicine University of Sydney  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Teng","sequence":"additional","affiliation":[{"name":"NeuroSpine Surgery Research Group (NSURG), Prince of Wales Private Hospital  Randwick Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konrad","family":"Schultz","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Sydney  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralph J","family":"Mobbs","sequence":"additional","affiliation":[{"name":"NeuroSpine Surgery Research Group (NSURG), Prince of Wales Private Hospital  Randwick Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,5,26]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp0708097"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1996.tb00915.x"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-103-2-271"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.1833"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200103000-00017"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.69.11.909"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000198722.70138.96"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200006010-00016"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.296.20.2451"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1508788"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1513721"},{"key":"e_1_2_4_13_1","first-page":"CD001352","article-title":"Surgery for degenerative lumbar spondylosis","volume":"4","author":"Gibson J","year":"2005","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-016-4479-3"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.3171\/2014.12.SPINE13994"},{"key":"e_1_2_4_16_1","doi-asserted-by":"publisher","DOI":"10.3171\/2014.4.SPINE13420"},{"key":"e_1_2_4_17_1","doi-asserted-by":"publisher","DOI":"10.3171\/2010.10.SPINE09708"},{"key":"e_1_2_4_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3182833e7c"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fos.12335","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.12335","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T14:49:08Z","timestamp":1696258148000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.12335"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,5]]}},"alternative-id":["10.1111\/os.12335"],"URL":"https:\/\/doi.org\/10.1111\/os.12335","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5]]}}}