{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:08:13Z","timestamp":1787764093678,"version":"build-2784847793"},"reference-count":19,"publisher":"Wiley","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p><jats:italic>Objective.<\/jats:italic>Selective, bilateral multisegmental microsurgical decompression of lumbar spinal canal stenosis through separate, alternating cross-over approaches.<jats:italic>Indications<\/jats:italic>. Two-segmental and multisegmental degenerative central and lateral lumbar spinal stenosis.<jats:italic>Contraindications<\/jats:italic>. None.<jats:italic>Surgical Technique.<\/jats:italic>Minimally invasive, muscle, and facet joint-sparing bilateral decompression of the lumbar spinal canal through 2 or more alternating microsurgical cross-over approaches from one side.<jats:italic>Results.<\/jats:italic>From December 2010 until December 2015 we operated on 202 patients with 2 or multisegmental stenosis (115 f; 87 m; average age 69.3\u2009yrs, range 51\u201391\u2009yrs). All patients were suffering from symptoms typical of a degenerative lumbar spinal stenosis. All patients complained about back pain; however the leg symptoms were dominant in all cases. Per decompressed segment, the average OR time was 36\u2009min and the blood loss 45.7\u2009cc. Patients were mobilized 6\u2009hrs postop and hospitalization averaged 5.9 days. A total of 116\/202 patients did not need submuscular drainage. 27\/202 patients suffered from a complication (13.4%). Dural tears occurred in 3.5%, an epidural hematoma in 5.5%, a deep wound infection in 1.98%, and a temporary radiculopathy postop in 1.5%. Postop follow-up ranged from 12 to 24 months. There was a significant improvement of EQ 5 D, Oswestry Disability Index (ODI), VAS for Back and Leg Pain, and preoperative standing times and walking distances.<\/jats:p>","DOI":"10.1155\/2016\/9074257","type":"journal-article","created":{"date-parts":[[2016,7,18]],"date-time":"2016-07-18T17:19:30Z","timestamp":1468862370000},"page":"1-6","source":"Crossref","is-referenced-by-count":25,"title":["\u201cSlalom\u201d: Microsurgical Cross-Over Decompression for Multilevel Degenerative Lumbar Stenosis"],"prefix":"10.1155","volume":"2016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2555-8126","authenticated-orcid":true,"given":"H. Michael","family":"Mayer","sequence":"first","affiliation":[{"name":"Spine Center, Sch\u00f6n Klinik M\u00fcnchen Harlaching, Paracelsus Medical School Salzburg, Harlachinger Stra\u00dfe 51, 81547 M\u00fcnchen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6074-5560","authenticated-orcid":true,"given":"Franziska","family":"Heider","sequence":"additional","affiliation":[{"name":"Spine Center, Sch\u00f6n Klinik M\u00fcnchen Harlaching, Paracelsus Medical School Salzburg, Harlachinger Stra\u00dfe 51, 81547 M\u00fcnchen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.3171\/spi-07\/12\/579"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181c46fb4"},{"key":"9","first-page":"105","volume-title":"Micorsurgical decompression of acquired (degenerative) central and lateral spinal canal stenosis","year":"2000"},{"key":"13","first-page":"453","volume-title":"Microsurgery for lateral zone stenosis","year":"1998"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.3171\/2011.7.spine11222"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1227\/01.neu.0000341906.65696.08"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1097\/brs.0b013e3181d25829"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1007\/s00064-012-0196-1"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1007\/s00132-003-0536-9"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-009-1221-4"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198906000-00008"},{"issue":"3","key":"6","first-page":"545","volume":"56","year":"1974","journal-title":"Journal of Bone and Joint Surgery\u2014Series B"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198305000-00014"},{"issue":"4","key":"15","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1016\/S1042-3680(18)30700-9","volume":"2","year":"1991","journal-title":"Neurosurgery Clinics of North America"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-103-2-271"},{"issue":"6","key":"4","doi-asserted-by":"crossref","first-page":"809","DOI":"10.2106\/00004623-199173060-00003","volume":"73","year":"1991","journal-title":"The Journal of Bone & Joint Surgery\u2014American Volume"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1007\/BF02112032"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200302150-00007"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199508000-00025"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2016\/9074257.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2016\/9074257.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2016\/9074257.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,9,11]],"date-time":"2019-09-11T06:09:09Z","timestamp":1568182149000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/bmri\/2016\/9074257\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":19,"alternative-id":["9074257","9074257"],"URL":"https:\/\/doi.org\/10.1155\/2016\/9074257","relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016]]}}}