{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T09:05:20Z","timestamp":1780131920409,"version":"3.54.0"},"reference-count":84,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,5]]},"abstract":"\n OBJECTIVE<\/jats:title>\n The aim of this study was to compare the radiological and clinical results of bilateral interlaminar canal decompression and classic laminectomy in lumbar canal stenosis (LCS).<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n Two hundred eighteen patients with LCS were randomized to surgical treatment with classic laminectomy (group 1) or bilateral interlaminar canal decompression (group 2). Low-back and leg pain were evaluated according to the visual analog scale (VAS) both preoperatively and postoperatively. Disability was evaluated according to the Oswestry Disability Index (ODI) preoperatively and at 1 month, 1 year, and 3 years postoperatively. Neurogenic claudication was evaluated using the Zurich Claudication Questionnaire (ZCQ) preoperatively and 1 year postoperatively. The two treatment groups were compared in terms of neurogenic claudication, estimated blood loss (EBL), and intra- and postoperative complications.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n Postoperative low-back and leg pain declined as compared to the preoperative pain. Both groups had significant improvement in VAS, ODI, and ZCQ scores, and the improvements in ODI and back pain VAS scores were significantly better in group 2. The average EBL was 140 ml in group 2 compared to 260 ml in group 1. Nine patients in the laminectomy group developed postoperative instability requiring fusion compared to only 4 cases in the interlaminar group (p = 0.15). Complications frequency did not show any statistical significance between the two groups.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n Bilateral interlaminar decompression is an effective method that provides sufficient canal decompression with decreased instability in cases of LCS and increases patient comfort in the postoperative period.<\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/2019.2.focus18725","type":"journal-article","created":{"date-parts":[[2019,5,3]],"date-time":"2019-05-03T18:48:59Z","timestamp":1556909339000},"page":"E3","source":"Crossref","is-referenced-by-count":12,"title":["Decompression of lumbar canal stenosis with a bilateral interlaminar versus classic laminectomy technique: a prospective randomized study"],"prefix":"10.3171","volume":"46","author":[{"given":"Mohamed A. R.","family":"Soliman","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Spine (Phila Pa 1976)","first-page":"1142","article-title":"Biomechanical evaluation of lumbar spinal stability after graded facetectomies","volume":"15","author":"Abumi K","year":"1990","unstructured":"Abumi K, Panjabi MM, Kramer KM, Duranceau J, Oxland T, Crisco JJ: Biomechanical evaluation of lumbar spinal stability after graded facetectomies. Spine (Phila Pa 1976) 15:1142\u20131147, 19902267608"},{"key":"b2","series-title":"Spine (Phila Pa 1976)","first-page":"1178","article-title":"Lumbar spinal stenosis. Clinical and radiologic features","volume":"20","author":"Amundsen T","unstructured":"Amundsen T, Weber H, Lille\u00e5s F, Nordal HJ, Abdelnoor M, Magnaes B: Lumbar spinal stenosis. Clinical and radiologic features. Spine (Phila Pa 1976) 20:1178\u20131186, 19957638662"},{"key":"b3","series-title":"Clin Orthop Relat Res","first-page":"137","article-title":"Lumbar stenosis: a clinical review","volume":"384","author":"Arbit E","year":"2001","unstructured":"Arbit E, Pannullo S: Lumbar stenosis: a clinical review. Clin Orthop Relat Res (384):137\u2013143, 2001"},{"key":"b4","series-title":"Neurosurgery","first-page":"429","article-title":"Multilevel lumbar laminotomies: an alternative to laminectomy in the treatment of lumbar stenosis","volume":"26","author":"Aryanpur J","year":"1990","unstructured":"Aryanpur J, Ducker T: Multilevel lumbar laminotomies: an alternative to laminectomy in the treatment of lumbar stenosis. Neurosurgery 26:429\u2013433, 19902138716"},{"key":"b5","series-title":"Spine (Phila Pa 1976)","first-page":"E385","article-title":"A ligamentum flavum-preserving approach to the lumbar spinal canal","volume":"28","author":"Askar Z","year":"2003","unstructured":"Askar Z, Wardlaw D, Choudhary S, Rege A: A ligamentum flavum-preserving approach to the lumbar spinal canal. Spine (Phila Pa 1976) 28:E385\u2013E390, 2003"},{"key":"b6","series-title":"Clin Orthop Relat Res","first-page":"75","article-title":"Current techniques of decompression of the lumbar spine","volume":"384","author":"Benz RJ","year":"2001","unstructured":"Benz RJ, Garfin SR: Current techniques of decompression of the lumbar spine. Clin Orthop Relat Res (384):75\u201381, 2001"},{"issue":"2 Suppl","key":"b7","series-title":"J Neurosurg","first-page":"214","article-title":"Biomechanical comparison of facet-sparing laminectomy and Christmas tree laminectomy","volume":"99","author":"Detwiler PW","year":"2003","unstructured":"Detwiler PW, Spetzler CB, Taylor SB, Crawford NR, Porter RW, Sonntag VK: Biomechanical comparison of facet-sparing laminectomy and Christmas tree laminectomy. J Neurosurg 99 (2 Suppl):214\u2013220, 200312956465"},{"key":"b8","series-title":"J Spinal Disord","first-page":"116","article-title":"Decompression in the surgical management of degenerative spondylolisthesis: advantages of a conservative approach in 290 patients","volume":"11","author":"Epstein NE","year":"1998","unstructured":"Epstein NE: Decompression in the surgical management of degenerative spondylolisthesis: advantages of a conservative approach in 290 patients. J Spinal Disord 11:116\u2013123, 19989588467"},{"key":"b9","series-title":"Spine (Phila Pa 1976)","first-page":"2940","article-title":"The Oswestry Disability Index","volume":"25","author":"Fairbank JC","year":"2000","unstructured":"Fairbank JC, Pynsent PB: The Oswestry Disability Index. Spine (Phila Pa 1976) 25:2940\u20132952, 200011074683"},{"key":"b10","series-title":"J Neurosurg","first-page":"793","article-title":"Clinical outcomes and radiological instability following decompressive lumbar laminectomy for degenerative spinal stenosis: a comparison of patients undergoing concomitant arthrodesis versus decompression alone","volume":"85","author":"Fox MW","year":"1996","unstructured":"Fox MW, Onofrio BM, Onofrio BM, Hanssen AD: Clinical outcomes and radiological instability following decompressive lumbar laminectomy for degenerative spinal stenosis: a comparison of patients undergoing concomitant arthrodesis versus decompression alone. J Neurosurg 85:793\u2013802, 19968893716"},{"key":"b11","series-title":"Eur Spine J","first-page":"571","article-title":"Observations on the safety and efficacy of surgical decompression for lumbar spinal stenosis in geriatric patients","volume":"11","author":"Fredman B","year":"2002","unstructured":"Fredman B, Arinzon Z, Zohar E, Shabat S, Jedeikin R, Fidelman ZG, : Observations on the safety and efficacy of surgical decompression for lumbar spinal stenosis in geriatric patients. Eur Spine J 11:571\u2013574, 200212522715"},{"key":"b12","series-title":"J Bone Joint Surg Am","first-page":"1036","article-title":"Degenerative lumbar spinal stenosis. Decompression with and without arthrodesis","volume":"77","author":"Grob D","year":"1995","unstructured":"Grob D, Humke T, Dvorak J: Degenerative lumbar spinal stenosis. Decompression with and without arthrodesis. J Bone Joint Surg Am 77:1036\u20131041, 19957608225"},{"key":"b13","series-title":"Spine (Phila Pa 1976)","first-page":"432","article-title":"A minimally invasive technique for decompression of the lumbar spine","volume":"27","author":"Guiot BH","year":"2002","unstructured":"Guiot BH, Khoo LT, Fessler RG: A minimally invasive technique for decompression of the lumbar spine. Spine (Phila Pa 1976) 27:432\u2013438, 200211840112"},{"key":"b14","series-title":"J Clin Neurosci","first-page":"169","article-title":"Bilateral decompression of multilevel lumbar spinal stenosis through a unilateral approach","volume":"12","author":"Haba K","year":"2005","unstructured":"Haba K, Ikeda M, Soma M, Yamashima T: Bilateral decompression of multilevel lumbar spinal stenosis through a unilateral approach. J Clin Neurosci 12:169\u2013171, 200515749421"},{"key":"b15","series-title":"Asian Spine J","first-page":"667","article-title":"Trumpet laminectomy microdecompression for lumbal canal stenosis","volume":"8","author":"Henky J","year":"2014","unstructured":"Henky J, Yasuda M, Arifin MZ, Takayasu M, Faried A: Trumpet laminectomy microdecompression for lumbal canal stenosis. Asian Spine J 8:667\u2013674, 201425346821"},{"key":"b16","series-title":"Spine (Phila Pa 1976)","first-page":"1754","article-title":"Minimum 10-year outcome of decompressive laminectomy for degenerative lumbar spinal stenosis","volume":"25","author":"Iguchi T","year":"2000","unstructured":"Iguchi T, Kurihara A, Nakayama J, Sato K, Kurosaka M, Yamasaki K: Minimum 10-year outcome of decompressive laminectomy for degenerative lumbar spinal stenosis. Spine (Phila Pa 1976) 25:1754\u20131759, 200010888941"},{"issue":"3 Suppl Operative","key":"b17","series-title":"Neurosurgery","first-page":"152","article-title":"Results after lumbar decompression with and without discectomy: comparison of the transspinous and conventional approaches","volume":"66","author":"Jayarao M","year":"2010","unstructured":"Jayarao M, Chin LS: Results after lumbar decompression with and without discectomy: comparison of the transspinous and conventional approaches. Neurosurgery 66 (3 Suppl Operative):152\u2013160, 201020173565"},{"key":"b18","series-title":"Spine (Phila Pa 1976)","first-page":"591","article-title":"Preoperative and postoperative instability in lumbar spinal stenosis","volume":"14","author":"Johnsson KE","year":"1989","unstructured":"Johnsson KE, Redlund-Johnell I, Ud\u00e9n A, Willner S: Preoperative and postoperative instability in lumbar spinal stenosis. Spine (Phila Pa 1976) 14:591\u2013593, 19892749373"},{"issue":"5 Suppl","key":"b19","series-title":"Neurosurgery","first-page":"S146","article-title":"Microendoscopic decompressive laminotomy for the treatment of lumbar stenosis","volume":"51","author":"Khoo LT","year":"2002","unstructured":"Khoo LT, Fessler RG: Microendoscopic decompressive laminotomy for the treatment of lumbar stenosis. Neurosurgery 51 (5 Suppl):S146\u2013S154, 200212234442"},{"key":"b20","series-title":"Spine (Phila Pa 1976)","first-page":"865","article-title":"Patient outcomes after minimally destabilizing lumbar stenosis decompression: the \"Port-Hole\" technique","volume":"25","author":"Kleeman TJ","year":"2000","unstructured":"Kleeman TJ, Hiscoe AC, Berg EE: Patient outcomes after minimally destabilizing lumbar stenosis decompression: the \"Port-Hole\" technique. Spine (Phila Pa 1976) 25:865\u2013870, 200010751299"},{"key":"b21","series-title":"Spine (Phila Pa 1976)","first-page":"429","article-title":"Lumbar spinal instability (olisthesis) after extensive posterior spinal decompression","volume":"8","author":"Lee CK","year":"1983","unstructured":"Lee CK: Lumbar spinal instability (olisthesis) after extensive posterior spinal decompression. Spine (Phila Pa 1976) 8:429\u2013433, 19836635793"},{"key":"b22","series-title":"Neurosurgery","first-page":"546","article-title":"Internal decompression for multiple levels of lumbar spinal stenosis: a technical note","volume":"11","author":"Lin PM","year":"1982","unstructured":"Lin PM: Internal decompression for multiple levels of lumbar spinal stenosis: a technical note. Neurosurgery 11:546\u2013549, 19827145072"},{"key":"b23","series-title":"J Bone Joint Surg Am","first-page":"1184","article-title":"Long-term roentgenographic and functional changes in patients who were treated with wide fenestration for central lumbar stenosis","volume":"73","author":"Nakai O","year":"1991","unstructured":"Nakai O, Ookawa A, Yamaura I: Long-term roentgenographic and functional changes in patients who were treated with wide fenestration for central lumbar stenosis. J Bone Joint Surg Am 73:1184\u20131191, 19911890119"},{"key":"b24","series-title":"Spine (Phila Pa 1976)","first-page":"966","article-title":"The injudicious laminectomy","volume":"11","author":"Natelson SE","year":"1986","unstructured":"Natelson SE: The injudicious laminectomy. Spine (Phila Pa 1976) 11:966\u2013969, 19863824074"},{"key":"b25","series-title":"Neurosurgery","first-page":"1264","article-title":"Long-term results of microsurgical treatment of lumbar spinal stenosis by unilateral laminotomy for bilateral decompression","volume":"59","author":"Oertel MF","year":"2006","unstructured":"Oertel MF, Ryang YM, Korinth MC, Gilsbach JM, Rohde V: Long-term results of microsurgical treatment of lumbar spinal stenosis by unilateral laminotomy for bilateral decompression. Neurosurgery 59:1264\u20131270, 200617277689"},{"issue":"2 Suppl","key":"b26","series-title":"J Neurosurg","first-page":"213","article-title":"Bilateral decompression of lumbar spinal stenosis involving a unilateral approach with microscope and tubular retractor system","volume":"97","author":"Palmer S","year":"2002","unstructured":"Palmer S, Turner R, Palmer R: Bilateral decompression of lumbar spinal stenosis involving a unilateral approach with microscope and tubular retractor system. J Neurosurg 97 (2 Suppl):213\u2013217, 200212296681"},{"key":"b27","series-title":"J Bone Joint Surg Br","first-page":"386","article-title":"The surgical treatment of central lumbar stenosis. Multiple laminotomy compared with total laminectomy","volume":"75","author":"Postacchini F","year":"1993","unstructured":"Postacchini F, Cinotti G, Perugia D, Gumina S: The surgical treatment of central lumbar stenosis. Multiple laminotomy compared with total laminectomy. J Bone Joint Surg Br 75:386\u2013392, 19938496205"},{"key":"b28","series-title":"Spine (Phila Pa 1976)","first-page":"1352","article-title":"Long-term results of partial undercutting facetectomy for lumbar lateral recess stenosis","volume":"21","author":"Sanderson PL","year":"1996","unstructured":"Sanderson PL, Getty CJ: Long-term results of partial undercutting facetectomy for lumbar lateral recess stenosis. Spine (Phila Pa 1976) 21:1352\u20131356, 19968725928"},{"key":"b29","series-title":"Pain","first-page":"175","article-title":"Graphic representation of pain","volume":"2","author":"Scott J","year":"1976","unstructured":"Scott J, Huskisson EC: Graphic representation of pain. Pain 2:175\u2013184, 19761026900"},{"key":"b30","series-title":"J Neurosurg","first-page":"695","article-title":"Decompressive lumbar laminectomy for spinal stenosis","volume":"78","author":"Silvers HR","year":"1993","unstructured":"Silvers HR, Lewis PJ, Asch HL: Decompressive lumbar laminectomy for spinal stenosis. J Neurosurg 78:695\u2013701, 19938468598"},{"key":"b31","series-title":"Eur Spine J","first-page":"679","article-title":"Degenerative lumbar spinal stenosis: correlation with Oswestry Disability Index and MR imaging","volume":"17","author":"Sirvanci M","year":"2008","unstructured":"Sirvanci M, Bhatia M, Ganiyusufoglu KA, Duran C, Tezer M, Ozturk C, : Degenerative lumbar spinal stenosis: correlation with Oswestry Disability Index and MR imaging. Eur Spine J 17:679\u2013685, 2008"},{"issue":"21","key":"b32","series-title":"Spine (Phila Pa 1976)","first-page":"796","article-title":"Measurement properties of a self-administered outcome measure in lumbar spinal stenosis","author":"Stucki G","year":"1996","unstructured":"Stucki G, Daltroy L, Liang MH, Lipson SJ, Fossel AH, Katz JN: Measurement properties of a self-administered outcome measure in lumbar spinal stenosis. Spine (Phila Pa 1976) 21:796\u2013803, 19968779009"},{"key":"b33","series-title":"J Neurosurg Spine","first-page":"129","article-title":"Outcome after less-invasive decompression of lumbar spinal stenosis: a randomized comparison of unilateral laminotomy, bilateral laminotomy, and laminectomy","volume":"3","author":"Thom\u00e9 C","year":"2005","unstructured":"Thom\u00e9 C, Zevgaridis D, Leheta O, B\u00e4zner H, P\u00f6ckler-Sch\u00f6niger C, W\u00f6hrle J, : Outcome after less-invasive decompression of lumbar spinal stenosis: a randomized comparison of unilateral laminotomy, bilateral laminotomy, and laminectomy. J Neurosurg Spine 3:129\u2013141, 200516370302"},{"key":"b34","series-title":"J Spinal Disord","first-page":"389","article-title":"Microscopic laminotomies for degenerative lumbar spinal stenosis","volume":"11","author":"Tsai RY","year":"1998","unstructured":"Tsai RY, Yang RS, Bray RS Jr: Microscopic laminotomies for degenerative lumbar spinal stenosis. J Spinal Disord 11:389\u2013394, 19989811098"},{"key":"b35","series-title":"J Bone Joint Surg Br","first-page":"230","article-title":"A radicular syndrome from developmental narrowing of the lumbar vertebral canal","volume":"36-B","author":"Verbiest H","year":"1954","unstructured":"Verbiest H: A radicular syndrome from developmental narrowing of the lumbar vertebral canal. J Bone Joint Surg Br 36-B:230\u2013237, 195413163105"},{"key":"b36","series-title":"J Bone Joint Surg Br","first-page":"181","article-title":"Results of surgical treatment of idiopathic developmental stenosis of the lumbar vertebral canal. A review of twenty-seven years\u2019 experience","volume":"59","author":"Verbiest H","year":"1977","unstructured":"Verbiest H: Results of surgical treatment of idiopathic developmental stenosis of the lumbar vertebral canal. A review of twenty-seven years\u2019 experience. J Bone Joint Surg Br 59:181\u2013188, 1977141452"},{"key":"b37","series-title":"J Bone Joint Surg Am","first-page":"1728","article-title":"Dural tears secondary to operations on the lumbar spine. Management and results after a two-year-minimum follow-up of eighty-eight patients","volume":"80","author":"Wang JC","year":"1998","unstructured":"Wang JC, Bohlman HH, Riew KD: Dural tears secondary to operations on the lumbar spine. Management and results after a two-year-minimum follow-up of eighty-eight patients. J Bone Joint Surg Am 80:1728\u20131732, 19989875930"},{"key":"b38","series-title":"J Neurosurg Spine","first-page":"51","article-title":"Reduced postoperative wound pain after lumbar spinous process-splitting laminectomy for lumbar canal stenosis: a randomized controlled study","volume":"14","author":"Watanabe K","year":"2011","unstructured":"Watanabe K, Matsumoto M, Ikegami T, Nishiwaki Y, Tsuji T, Ishii K, : Reduced postoperative wound pain after lumbar spinous process-splitting laminectomy for lumbar canal stenosis: a randomized controlled study. J Neurosurg Spine 14:51\u201358, 201121142464"},{"key":"b39","series-title":"Spine (Phila Pa 1976)","first-page":"2268","article-title":"Microdecompression for lumbar spinal canal stenosis","volume":"24","author":"Weiner BK","year":"1999","unstructured":"Weiner BK, Walker M, Brower RS, McCulloch JA: Microdecompression for lumbar spinal canal stenosis. Spine (Phila Pa 1976) 24:2268\u20132272, 199910562995"},{"key":"b40","series-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi","first-page":"1158","article-title":"[Microendoscopic decompression via unilateral approach for lumbar spinal stenosis","volume":"25","author":"Yang B","year":"2011","unstructured":"Yang B, Chen R, Xie P, Liu B, Dong J, Rong L: [Microendoscopic decompression via unilateral approach for lumbar spinal stenosis.] Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 25:1158\u20131163, 2011 (Chinese)22069964"},{"key":"b41","series-title":"J Spinal Disord","first-page":"40","article-title":"Usefulness of Posner\u2019s definition of spinal instability for selection of surgical treatment for lumbar spinal stenosis","volume":"12","author":"Yone K","year":"1999","unstructured":"Yone K, Sakou T: Usefulness of Posner\u2019s definition of spinal instability for selection of surgical treatment for lumbar spinal stenosis. J Spinal Disord 12:40\u201344, 199910078948"},{"key":"b42","series-title":"Neurosurgery","first-page":"628","article-title":"Relief of lumbar canal stenosis using multilevel subarticular fenestrations as an alternative to wide laminectomy: preliminary report","volume":"23","author":"Young S","year":"1988","unstructured":"Young S, Veerapen R, O\u2019Laoire SA: Relief of lumbar canal stenosis using multilevel subarticular fenestrations as an alternative to wide laminectomy: preliminary report. Neurosurgery 23:628\u2013633, 19883200393"},{"key":"b1","series-title":"Spine (Phila Pa 1976)","first-page":"1142","article-title":"Biomechanical evaluation of lumbar spinal stability after graded facetectomies","volume":"15","author":"Abumi K","year":"1990","unstructured":"Abumi K, Panjabi MM, Kramer KM, Duranceau J, Oxland T, Crisco JJ: Biomechanical evaluation of lumbar spinal stability after graded facetectomies. Spine (Phila Pa 1976) 15:1142\u20131147, 19902267608"},{"key":"b2","series-title":"Spine (Phila Pa 1976)","first-page":"1178","article-title":"Lumbar spinal stenosis. Clinical and radiologic features","volume":"20","author":"Amundsen T","unstructured":"Amundsen T, Weber H, Lille\u00e5s F, Nordal HJ, Abdelnoor M, Magnaes B: Lumbar spinal stenosis. Clinical and radiologic features. Spine (Phila Pa 1976) 20:1178\u20131186, 19957638662"},{"key":"b3","series-title":"Clin Orthop Relat Res","first-page":"137","article-title":"Lumbar stenosis: a clinical review","volume":"384","author":"Arbit E","year":"2001","unstructured":"Arbit E, Pannullo S: Lumbar stenosis: a clinical review. Clin Orthop Relat Res (384):137\u2013143, 2001"},{"key":"b4","series-title":"Neurosurgery","first-page":"429","article-title":"Multilevel lumbar laminotomies: an alternative to laminectomy in the treatment of lumbar stenosis","volume":"26","author":"Aryanpur J","year":"1990","unstructured":"Aryanpur J, Ducker T: Multilevel lumbar laminotomies: an alternative to laminectomy in the treatment of lumbar stenosis. Neurosurgery 26:429\u2013433, 19902138716"},{"key":"b5","series-title":"Spine (Phila Pa 1976)","first-page":"E385","article-title":"A ligamentum flavum-preserving approach to the lumbar spinal canal","volume":"28","author":"Askar Z","year":"2003","unstructured":"Askar Z, Wardlaw D, Choudhary S, Rege A: A ligamentum flavum-preserving approach to the lumbar spinal canal. Spine (Phila Pa 1976) 28:E385\u2013E390, 2003"},{"key":"b6","series-title":"Clin Orthop Relat Res","first-page":"75","article-title":"Current techniques of decompression of the lumbar spine","volume":"384","author":"Benz RJ","year":"2001","unstructured":"Benz RJ, Garfin SR: Current techniques of decompression of the lumbar spine. Clin Orthop Relat Res (384):75\u201381, 2001"},{"issue":"2 Suppl","key":"b7","series-title":"J Neurosurg","first-page":"214","article-title":"Biomechanical comparison of facet-sparing laminectomy and Christmas tree laminectomy","volume":"99","author":"Detwiler PW","year":"2003","unstructured":"Detwiler PW, Spetzler CB, Taylor SB, Crawford NR, Porter RW, Sonntag VK: Biomechanical comparison of facet-sparing laminectomy and Christmas tree laminectomy. J Neurosurg 99 (2 Suppl):214\u2013220, 200312956465"},{"key":"b8","series-title":"J Spinal Disord","first-page":"116","article-title":"Decompression in the surgical management of degenerative spondylolisthesis: advantages of a conservative approach in 290 patients","volume":"11","author":"Epstein NE","year":"1998","unstructured":"Epstein NE: Decompression in the surgical management of degenerative spondylolisthesis: advantages of a conservative approach in 290 patients. J Spinal Disord 11:116\u2013123, 19989588467"},{"key":"b9","series-title":"Spine (Phila Pa 1976)","first-page":"2940","article-title":"The Oswestry Disability Index","volume":"25","author":"Fairbank JC","year":"2000","unstructured":"Fairbank JC, Pynsent PB: The Oswestry Disability Index. Spine (Phila Pa 1976) 25:2940\u20132952, 200011074683"},{"key":"b10","series-title":"J Neurosurg","first-page":"793","article-title":"Clinical outcomes and radiological instability following decompressive lumbar laminectomy for degenerative spinal stenosis: a comparison of patients undergoing concomitant arthrodesis versus decompression alone","volume":"85","author":"Fox MW","year":"1996","unstructured":"Fox MW, Onofrio BM, Onofrio BM, Hanssen AD: Clinical outcomes and radiological instability following decompressive lumbar laminectomy for degenerative spinal stenosis: a comparison of patients undergoing concomitant arthrodesis versus decompression alone. J Neurosurg 85:793\u2013802, 19968893716"},{"key":"b11","series-title":"Eur Spine J","first-page":"571","article-title":"Observations on the safety and efficacy of surgical decompression for lumbar spinal stenosis in geriatric patients","volume":"11","author":"Fredman B","year":"2002","unstructured":"Fredman B, Arinzon Z, Zohar E, Shabat S, Jedeikin R, Fidelman ZG, : Observations on the safety and efficacy of surgical decompression for lumbar spinal stenosis in geriatric patients. Eur Spine J 11:571\u2013574, 200212522715"},{"key":"b12","series-title":"J Bone Joint Surg Am","first-page":"1036","article-title":"Degenerative lumbar spinal stenosis. Decompression with and without arthrodesis","volume":"77","author":"Grob D","year":"1995","unstructured":"Grob D, Humke T, Dvorak J: Degenerative lumbar spinal stenosis. Decompression with and without arthrodesis. J Bone Joint Surg Am 77:1036\u20131041, 19957608225"},{"key":"b13","series-title":"Spine (Phila Pa 1976)","first-page":"432","article-title":"A minimally invasive technique for decompression of the lumbar spine","volume":"27","author":"Guiot BH","year":"2002","unstructured":"Guiot BH, Khoo LT, Fessler RG: A minimally invasive technique for decompression of the lumbar spine. Spine (Phila Pa 1976) 27:432\u2013438, 200211840112"},{"key":"b14","series-title":"J Clin Neurosci","first-page":"169","article-title":"Bilateral decompression of multilevel lumbar spinal stenosis through a unilateral approach","volume":"12","author":"Haba K","year":"2005","unstructured":"Haba K, Ikeda M, Soma M, Yamashima T: Bilateral decompression of multilevel lumbar spinal stenosis through a unilateral approach. J Clin Neurosci 12:169\u2013171, 200515749421"},{"key":"b15","series-title":"Asian Spine J","first-page":"667","article-title":"Trumpet laminectomy microdecompression for lumbal canal stenosis","volume":"8","author":"Henky J","year":"2014","unstructured":"Henky J, Yasuda M, Arifin MZ, Takayasu M, Faried A: Trumpet laminectomy microdecompression for lumbal canal stenosis. Asian Spine J 8:667\u2013674, 201425346821"},{"key":"b16","series-title":"Spine (Phila Pa 1976)","first-page":"1754","article-title":"Minimum 10-year outcome of decompressive laminectomy for degenerative lumbar spinal stenosis","volume":"25","author":"Iguchi T","year":"2000","unstructured":"Iguchi T, Kurihara A, Nakayama J, Sato K, Kurosaka M, Yamasaki K: Minimum 10-year outcome of decompressive laminectomy for degenerative lumbar spinal stenosis. Spine (Phila Pa 1976) 25:1754\u20131759, 200010888941"},{"issue":"3 Suppl Operative","key":"b17","series-title":"Neurosurgery","first-page":"152","article-title":"Results after lumbar decompression with and without discectomy: comparison of the transspinous and conventional approaches","volume":"66","author":"Jayarao M","year":"2010","unstructured":"Jayarao M, Chin LS: Results after lumbar decompression with and without discectomy: comparison of the transspinous and conventional approaches. Neurosurgery 66 (3 Suppl Operative):152\u2013160, 201020173565"},{"key":"b18","series-title":"Spine (Phila Pa 1976)","first-page":"591","article-title":"Preoperative and postoperative instability in lumbar spinal stenosis","volume":"14","author":"Johnsson KE","year":"1989","unstructured":"Johnsson KE, Redlund-Johnell I, Ud\u00e9n A, Willner S: Preoperative and postoperative instability in lumbar spinal stenosis. Spine (Phila Pa 1976) 14:591\u2013593, 19892749373"},{"issue":"5 Suppl","key":"b19","series-title":"Neurosurgery","first-page":"S146","article-title":"Microendoscopic decompressive laminotomy for the treatment of lumbar stenosis","volume":"51","author":"Khoo LT","year":"2002","unstructured":"Khoo LT, Fessler RG: Microendoscopic decompressive laminotomy for the treatment of lumbar stenosis. Neurosurgery 51 (5 Suppl):S146\u2013S154, 200212234442"},{"key":"b20","series-title":"Spine (Phila Pa 1976)","first-page":"865","article-title":"Patient outcomes after minimally destabilizing lumbar stenosis decompression: the \"Port-Hole\" technique","volume":"25","author":"Kleeman TJ","year":"2000","unstructured":"Kleeman TJ, Hiscoe AC, Berg EE: Patient outcomes after minimally destabilizing lumbar stenosis decompression: the \"Port-Hole\" technique. Spine (Phila Pa 1976) 25:865\u2013870, 200010751299"},{"key":"b21","series-title":"Spine (Phila Pa 1976)","first-page":"429","article-title":"Lumbar spinal instability (olisthesis) after extensive posterior spinal decompression","volume":"8","author":"Lee CK","year":"1983","unstructured":"Lee CK: Lumbar spinal instability (olisthesis) after extensive posterior spinal decompression. Spine (Phila Pa 1976) 8:429\u2013433, 19836635793"},{"key":"b22","series-title":"Neurosurgery","first-page":"546","article-title":"Internal decompression for multiple levels of lumbar spinal stenosis: a technical note","volume":"11","author":"Lin PM","year":"1982","unstructured":"Lin PM: Internal decompression for multiple levels of lumbar spinal stenosis: a technical note. Neurosurgery 11:546\u2013549, 19827145072"},{"key":"b23","series-title":"J Bone Joint Surg Am","first-page":"1184","article-title":"Long-term roentgenographic and functional changes in patients who were treated with wide fenestration for central lumbar stenosis","volume":"73","author":"Nakai O","year":"1991","unstructured":"Nakai O, Ookawa A, Yamaura I: Long-term roentgenographic and functional changes in patients who were treated with wide fenestration for central lumbar stenosis. J Bone Joint Surg Am 73:1184\u20131191, 19911890119"},{"key":"b24","series-title":"Spine (Phila Pa 1976)","first-page":"966","article-title":"The injudicious laminectomy","volume":"11","author":"Natelson SE","year":"1986","unstructured":"Natelson SE: The injudicious laminectomy. Spine (Phila Pa 1976) 11:966\u2013969, 19863824074"},{"key":"b25","series-title":"Neurosurgery","first-page":"1264","article-title":"Long-term results of microsurgical treatment of lumbar spinal stenosis by unilateral laminotomy for bilateral decompression","volume":"59","author":"Oertel MF","year":"2006","unstructured":"Oertel MF, Ryang YM, Korinth MC, Gilsbach JM, Rohde V: Long-term results of microsurgical treatment of lumbar spinal stenosis by unilateral laminotomy for bilateral decompression. Neurosurgery 59:1264\u20131270, 200617277689"},{"issue":"2 Suppl","key":"b26","series-title":"J Neurosurg","first-page":"213","article-title":"Bilateral decompression of lumbar spinal stenosis involving a unilateral approach with microscope and tubular retractor system","volume":"97","author":"Palmer S","year":"2002","unstructured":"Palmer S, Turner R, Palmer R: Bilateral decompression of lumbar spinal stenosis involving a unilateral approach with microscope and tubular retractor system. J Neurosurg 97 (2 Suppl):213\u2013217, 200212296681"},{"key":"b27","series-title":"J Bone Joint Surg Br","first-page":"386","article-title":"The surgical treatment of central lumbar stenosis. Multiple laminotomy compared with total laminectomy","volume":"75","author":"Postacchini F","year":"1993","unstructured":"Postacchini F, Cinotti G, Perugia D, Gumina S: The surgical treatment of central lumbar stenosis. Multiple laminotomy compared with total laminectomy. J Bone Joint Surg Br 75:386\u2013392, 19938496205"},{"key":"b28","series-title":"Spine (Phila Pa 1976)","first-page":"1352","article-title":"Long-term results of partial undercutting facetectomy for lumbar lateral recess stenosis","volume":"21","author":"Sanderson PL","year":"1996","unstructured":"Sanderson PL, Getty CJ: Long-term results of partial undercutting facetectomy for lumbar lateral recess stenosis. Spine (Phila Pa 1976) 21:1352\u20131356, 19968725928"},{"key":"b29","series-title":"Pain","first-page":"175","article-title":"Graphic representation of pain","volume":"2","author":"Scott J","year":"1976","unstructured":"Scott J, Huskisson EC: Graphic representation of pain. Pain 2:175\u2013184, 19761026900"},{"key":"b30","series-title":"J Neurosurg","first-page":"695","article-title":"Decompressive lumbar laminectomy for spinal stenosis","volume":"78","author":"Silvers HR","year":"1993","unstructured":"Silvers HR, Lewis PJ, Asch HL: Decompressive lumbar laminectomy for spinal stenosis. J Neurosurg 78:695\u2013701, 19938468598"},{"key":"b31","series-title":"Eur Spine J","first-page":"679","article-title":"Degenerative lumbar spinal stenosis: correlation with Oswestry Disability Index and MR imaging","volume":"17","author":"Sirvanci M","year":"2008","unstructured":"Sirvanci M, Bhatia M, Ganiyusufoglu KA, Duran C, Tezer M, Ozturk C, : Degenerative lumbar spinal stenosis: correlation with Oswestry Disability Index and MR imaging. Eur Spine J 17:679\u2013685, 2008"},{"issue":"21","key":"b32","series-title":"Spine (Phila Pa 1976)","first-page":"796","article-title":"Measurement properties of a self-administered outcome measure in lumbar spinal stenosis","author":"Stucki G","year":"1996","unstructured":"Stucki G, Daltroy L, Liang MH, Lipson SJ, Fossel AH, Katz JN: Measurement properties of a self-administered outcome measure in lumbar spinal stenosis. Spine (Phila Pa 1976) 21:796\u2013803, 19968779009"},{"key":"b33","series-title":"J Neurosurg Spine","first-page":"129","article-title":"Outcome after less-invasive decompression of lumbar spinal stenosis: a randomized comparison of unilateral laminotomy, bilateral laminotomy, and laminectomy","volume":"3","author":"Thom\u00e9 C","year":"2005","unstructured":"Thom\u00e9 C, Zevgaridis D, Leheta O, B\u00e4zner H, P\u00f6ckler-Sch\u00f6niger C, W\u00f6hrle J, : Outcome after less-invasive decompression of lumbar spinal stenosis: a randomized comparison of unilateral laminotomy, bilateral laminotomy, and laminectomy. J Neurosurg Spine 3:129\u2013141, 200516370302"},{"key":"b34","series-title":"J Spinal Disord","first-page":"389","article-title":"Microscopic laminotomies for degenerative lumbar spinal stenosis","volume":"11","author":"Tsai RY","year":"1998","unstructured":"Tsai RY, Yang RS, Bray RS Jr: Microscopic laminotomies for degenerative lumbar spinal stenosis. J Spinal Disord 11:389\u2013394, 19989811098"},{"key":"b35","series-title":"J Bone Joint Surg Br","first-page":"230","article-title":"A radicular syndrome from developmental narrowing of the lumbar vertebral canal","volume":"36-B","author":"Verbiest H","year":"1954","unstructured":"Verbiest H: A radicular syndrome from developmental narrowing of the lumbar vertebral canal. J Bone Joint Surg Br 36-B:230\u2013237, 195413163105"},{"key":"b36","series-title":"J Bone Joint Surg Br","first-page":"181","article-title":"Results of surgical treatment of idiopathic developmental stenosis of the lumbar vertebral canal. A review of twenty-seven years\u2019 experience","volume":"59","author":"Verbiest H","year":"1977","unstructured":"Verbiest H: Results of surgical treatment of idiopathic developmental stenosis of the lumbar vertebral canal. A review of twenty-seven years\u2019 experience. J Bone Joint Surg Br 59:181\u2013188, 1977141452"},{"key":"b37","series-title":"J Bone Joint Surg Am","first-page":"1728","article-title":"Dural tears secondary to operations on the lumbar spine. Management and results after a two-year-minimum follow-up of eighty-eight patients","volume":"80","author":"Wang JC","year":"1998","unstructured":"Wang JC, Bohlman HH, Riew KD: Dural tears secondary to operations on the lumbar spine. Management and results after a two-year-minimum follow-up of eighty-eight patients. J Bone Joint Surg Am 80:1728\u20131732, 19989875930"},{"key":"b38","series-title":"J Neurosurg Spine","first-page":"51","article-title":"Reduced postoperative wound pain after lumbar spinous process-splitting laminectomy for lumbar canal stenosis: a randomized controlled study","volume":"14","author":"Watanabe K","year":"2011","unstructured":"Watanabe K, Matsumoto M, Ikegami T, Nishiwaki Y, Tsuji T, Ishii K, : Reduced postoperative wound pain after lumbar spinous process-splitting laminectomy for lumbar canal stenosis: a randomized controlled study. J Neurosurg Spine 14:51\u201358, 201121142464"},{"key":"b39","series-title":"Spine (Phila Pa 1976)","first-page":"2268","article-title":"Microdecompression for lumbar spinal canal stenosis","volume":"24","author":"Weiner BK","year":"1999","unstructured":"Weiner BK, Walker M, Brower RS, McCulloch JA: Microdecompression for lumbar spinal canal stenosis. Spine (Phila Pa 1976) 24:2268\u20132272, 199910562995"},{"key":"b40","series-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi","first-page":"1158","article-title":"[Microendoscopic decompression via unilateral approach for lumbar spinal stenosis","volume":"25","author":"Yang B","year":"2011","unstructured":"Yang B, Chen R, Xie P, Liu B, Dong J, Rong L: [Microendoscopic decompression via unilateral approach for lumbar spinal stenosis.] Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 25:1158\u20131163, 2011 (Chinese)22069964"},{"key":"b41","series-title":"J Spinal Disord","first-page":"40","article-title":"Usefulness of Posner\u2019s definition of spinal instability for selection of surgical treatment for lumbar spinal stenosis","volume":"12","author":"Yone K","year":"1999","unstructured":"Yone K, Sakou T: Usefulness of Posner\u2019s definition of spinal instability for selection of surgical treatment for lumbar spinal stenosis. J Spinal Disord 12:40\u201344, 199910078948"},{"key":"b42","series-title":"Neurosurgery","first-page":"628","article-title":"Relief of lumbar canal stenosis using multilevel subarticular fenestrations as an alternative to wide laminectomy: preliminary report","volume":"23","author":"Young S","year":"1988","unstructured":"Young S, Veerapen R, O\u2019Laoire SA: Relief of lumbar canal stenosis using multilevel subarticular fenestrations as an alternative to wide laminectomy: preliminary report. Neurosurgery 23:628\u2013633, 19883200393"}],"container-title":["Neurosurgical Focus"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/46\/5\/article-pE3.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/46\/5\/article-pE3.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/46\/5\/article-pE3.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T08:43:15Z","timestamp":1780130595000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/46\/5\/article-pE3.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":84,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/2019.2.focus18725","relation":{},"ISSN":["1092-0684"],"issn-type":[{"value":"1092-0684","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5]]}}}