{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T06:35:05Z","timestamp":1789799705658,"version":"4.0.1"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The rationale of \u201conly fixation\u201d of affected spinal segments without any form of bone or soft-tissue decompression in cases with failed decompressive laminectomy for lumbar canal stenosis is discussed on the basis of an experience with 14 cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>During the period between 2010 and 2022, 14 patients who symptomatically worsened or did not improve following a long-segment \u201cwide\u201d decompressive laminectomy for multisegmental lumbar canal stenosis were identified. All patients were treated by segmental spinal stabilization aimed at arthrodesis by facetal distraction by Goel\u2019s facetal spacers (6 cases) or Camille\u2019s transarticular facetal fixation (8 cases). No bone, soft tissue, or disc resection was done for spinal or neural canal \u201cdecompression.\u201d Oswestry Disability Index and Visual Analog Scale were used to clinically assess the patients before and after the surgery and at follow-up. In addition, video recordings of patient\u2019s self-assessment of clinical outcome were used to monitor the outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>During the average period of follow-up of 71 months (range 6 months to 16 years), all patients recovered in majority of their major symptoms, the recovery was observed in the immediate postoperative period. During the period of follow-up, none of the patients complained of recurrent symptoms or needed any additional surgery. There was firm stabilization and evidences of bone fusion of the treated spinal segments in all patients. There were no infections or implant failure. No patient worsened after treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Instability of the spinal segments is the primary issue in cases with lumbar canal stenosis and stabilization in the treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcvjs.jcvjs_151_23","type":"journal-article","created":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T00:00:37Z","timestamp":1701216037000},"page":"330-335","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["\u201cOnly fixation\u201d in cases with failed decompression for lumbar canal stenosis \u2013 Analysis of outcome in 14 cases"],"prefix":"10.4103","volume":"14","author":[{"given":"Atul","family":"Goel","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Lilavati Hospital and Research Center, Mumbai, Maharashtra, India"},{"name":"Department of Neurosurgery, R. N. Cooper Hospital and Medical College, Mumbai, Maharashtra, India"},{"name":"Department of Neurosurgery, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India"},{"name":"K.J. Somaiya Medical College, Hospital and Research Center, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apurva","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lilavati Hospital and Research Center, Mumbai, Maharashtra, India"},{"name":"Department of Neurosurgery, Bhatia Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhidha","family":"Shah","sequence":"additional","affiliation":[{"name":"K.J. Somaiya Medical College, Hospital and Research Center, Mumbai, Maharashtra, India"},{"name":"Department of Neurosurgery, Seth G.S. Medical College, K.E.M Hospital, Mumbai, Maharashtra, India"},{"name":"Department of Neurosurgery, Apollo Hospitals, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shradha","family":"Maheshwari","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, R. N. Cooper Hospital and Medical College, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravikiran","family":"Vutha","sequence":"additional","affiliation":[{"name":"K.J. Somaiya Medical College, Hospital and Research Center, Mumbai, Maharashtra, India"},{"name":"Department of Neurosurgery, Apollo Hospitals, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,11,29]]},"reference":[{"key":"R1-20240904","doi-asserted-by":"crossref","first-page":"1979","DOI":"10.2106\/JBJS.J.01292","article-title":"Revision surgery following operations for lumbar stenosis","volume":"93","author":"Deyo","year":"2011","journal-title":"J Bone Joint Surg Am"},{"key":"R2-20240904","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1097\/01.brs.0000254104.55716.46","article-title":"Reoperation rates following lumbar spine surgery and the influence of spinal fusion procedures","volume":"32","author":"Martin","year":"2007","journal-title":"Spine (Phila Pa 1976)"},{"key":"R3-20240904","doi-asserted-by":"crossref","first-page":"65","DOI":"10.4103\/0974-8237.77669","article-title":"Facet 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stabilization is the treatment: An experience with 215 cases surgically treated over 7 years","volume":"140","author":"Goel","year":"2020","journal-title":"World Neurosurg"}],"container-title":["Journal of Craniovertebral Junction and Spine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jcvjs.jcvjs_151_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:52:01Z","timestamp":1787763121000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jcvjs.jcvjs_151_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/jcvjs.jcvjs_151_23","relation":{},"ISSN":["0974-8237","0976-9285"],"issn-type":[{"value":"0974-8237","type":"print"},{"value":"0976-9285","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10]]},"assertion":[{"value":"2023-11-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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