{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T16:26:33Z","timestamp":1791044793933,"version":"4.1.0"},"reference-count":30,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2019,7,16]],"date-time":"2019-07-16T00:00:00Z","timestamp":1563235200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>A comprehensive description of the literature regarding interspinous process devices (IPD) mainly focused on comparison with conservative treatment and surgical decompression for the treatment of degenerative lumbar spinal stenosis. Recent meta-analysis and articles are listed in the present article in order to establish IPD pros and cons.<\/jats:p>","DOI":"10.3390\/medicina55070381","type":"journal-article","created":{"date-parts":[[2019,7,17]],"date-time":"2019-07-17T02:44:03Z","timestamp":1563331443000},"page":"381","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Percutaneous Interspinous Spacer in Spinal-Canal-Stenosis Treatment: Pros and Cons"],"prefix":"10.3390","volume":"55","author":[{"given":"Chiara","family":"Zini","sequence":"first","affiliation":[{"name":"Dipartimento di Radiologia, Azienda USL Toscana Centro, 50012 Firenze, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Bellini","sequence":"additional","affiliation":[{"name":"UOC NINT Neuroimmagini e Neurointerventistica, Azienda Ospedaliera Universitaria Senese, 53100 Siena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Masala","sequence":"additional","affiliation":[{"name":"Diagnostica per Immagini e Radiologia Interventistica Ospedale San Giovanni Battista, 00148 Roma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Marcia","sequence":"additional","affiliation":[{"name":"Radiologia PO SS Trinit\u00e0, ATS Sardegna ASSL Cagliari, 09121 Cagliari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2019,7,16]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"843","DOI":"10.5435\/JAAOS-D-15-00034","article-title":"Lumbar Spinal Stenosis: How Is It Classified?","volume":"24","author":"Schroeder","year":"2016","journal-title":"J. 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Radiol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.otsr.2014.11.016","article-title":"Biomechanical study of dynamic changes in L4-L5 foramen surface area in flexion and extension after implantation of four interspinous process devices","volume":"101","author":"Hirsch","year":"2015","journal-title":"Orthop Traumatol Surg Res."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1097\/01.brs.0000157483.28505.e3","article-title":"The treatment mechanism of an interspinous process implant for lumbar neurogenic intermittent claudication","volume":"30","author":"Richards","year":"2005","journal-title":"Spine"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Poetscher, A.W., Gentil, A.F., Ferretti, M., and Lenza, M. (2018). Interspinous process devices for treatment of degenerative lumbar spine stenosis: A systematic review and meta-analysis. 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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":"ref_23","doi-asserted-by":"crossref","first-page":"1436","DOI":"10.1097\/BRS.0b013e31828ba413","article-title":"X-stop versus decompressive surgery for lumbar neurogenic intermittent claudication: Randomized controlled trial with 2-year follow-up","volume":"38","author":"Berg","year":"2013","journal-title":"Spine"},{"key":"ref_24","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":"ref_25","doi-asserted-by":"crossref","first-page":"522","DOI":"10.3174\/ajnr.A2792","article-title":"Posterior vertebral arch cement augmentation (spinoplasty) to prevent fracture of spinous processes after interspinous spacer implant","volume":"33","author":"Bonaldi","year":"2012","journal-title":"AJNR Am. 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