{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T17:06:31Z","timestamp":1785431191817,"version":"3.56.0"},"reference-count":9,"publisher":"Open Medical Publishing","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>A patient with lumbar spinal stenosis (LSS) was referred to our clinic due to refractory low back pain, radicular pain, and neurogenic claudication despite conservative treatment with medical management. Imaging of the lumbar spine revealed spinal canal and foraminal stenosis. Multiple epidural steroid injections (ESI) were performed which did not resolve her condition.<\/jats:p>\n                  <jats:p>We offered her an Implantation of an Interspinous Spacer Device (ISD) since her primary symptoms were predominantly characteristic of radicular pain. Her radicular symptoms improved but experienced worsening of her lower back pain and neurogenic claudication. For these reasons, we then offered her a Minimally Invasive Lumbar Decompression (MILD) procedure. Though both procedures share the same incisional approach, the first one deploys an implant in the interspinous process, as opposed to the MILD procedure which does not. We therefore describe the intricacies of performing a MILD procedure after an ISD implant and share the patient\u2019s outcome.<\/jats:p>","DOI":"10.52965\/001c.35844","type":"journal-article","created":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T01:07:32Z","timestamp":1656292052000},"source":"Crossref","is-referenced-by-count":1,"title":["A minimally invasive lumbar decompression procedure after an interspinous spacer device implantation: an uncommon order of treatment with a successful outcome"],"prefix":"10.52965","volume":"14","author":[{"given":"Salomon","family":"Poliwoda","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00wgjpw02","id-type":"ROR","asserted-by":"publisher"}],"name":"Mount Sinai Medical Center","department":["Department of Anesthesia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazir","family":"Noor","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00wgjpw02","id-type":"ROR","asserted-by":"publisher"}],"name":"Mount Sinai Medical Center","department":["Department of Anesthesia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan","family":"Urits","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01mgpsx86","id-type":"ROR","asserted-by":"publisher"}],"name":"SouthCoast Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Viswanath","sequence":"additional","affiliation":[{"name":"3) Valley Anesthesiology and Pain Consultants - Envision Physician Services","department":["Department of Anesthesia and Pain Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Spine and Wellness Centers of America","department":["Department of Pain Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan D.","family":"Kaye","sequence":"additional","affiliation":[{"name":"Louisiana State University Health Sciences Center","department":["Department of Anesthesiology"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2022,6,27]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1016\/B978-0-7020-4086-3.00035-7","article-title":"Spinal stenosis","volume":"2014","author":"Jo\u00e3o Levy Melancia","year":"2014","journal-title":"Handbook of Clinical Neurology"},{"issue":"1","key":"ref2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.cd010264.pub2","article-title":"Surgical versus non-surgical treatment for lumbar spinal stenosis","volume":"2016","author":"Fabio Zaina","year":"2016","journal-title":"Cochrane Database of Systematic Reviews","ISSN":"https:\/\/id.crossref.org\/issn\/1465-1858","issn-type":"print"},{"issue":"3","key":"ref3","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1016\/j.rdc.2018.03.008","article-title":"Lumbar Spinal Stenosis in Older Adults","volume":"44","author":"Anna M. 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Scott Kreiner","year":"2014","journal-title":"Pain Medicine","ISSN":"https:\/\/id.crossref.org\/issn\/1526-2375","issn-type":"print"},{"issue":"7","key":"ref6","doi-asserted-by":"publisher","first-page":"594","DOI":"10.1111\/papr.12051","article-title":"The MILD Procedure","volume":"13","author":"Gabor B. Racz","year":"2013","journal-title":"Pain Practice","ISSN":"https:\/\/id.crossref.org\/issn\/1530-7085","issn-type":"print"},{"issue":"9","key":"ref7","doi-asserted-by":"publisher","first-page":"4628","DOI":"10.1007\/s12325-021-01875-8","article-title":"A Comprehensive Review of Novel Interventional Techniques for Chronic Pain: Spinal Stenosis and Degenerative Disc Disease\u2014MILD Percutaneous Image Guided Lumbar Decompression, Vertiflex Interspinous Spacer, MinuteMan G3 Interspinous-Interlaminar Fusion","volume":"38","author":"Alan D. Kaye","year":"2021","journal-title":"Advances in Therapy","ISSN":"https:\/\/id.crossref.org\/issn\/0741-238X","issn-type":"print"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"227","DOI":"10.2147\/cia.s23656","article-title":"Minimally invasive treatment of lumbar spinal stenosis with a novel interspinous spacer","author":"Jon Block","year":"2011","journal-title":"Clinical Interventions in Aging","ISSN":"https:\/\/id.crossref.org\/issn\/1178-1998","issn-type":"print"},{"issue":"2","key":"ref9","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1007\/s12178-017-9413-8","article-title":"Interspinous implants to treat spinal stenosis","volume":"10","author":"Raj J. Gala","year":"2017","journal-title":"Current Reviews in Musculoskeletal Medicine","ISSN":"https:\/\/id.crossref.org\/issn\/1935-973X","issn-type":"print"}],"container-title":["Orthopedic Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/35844-a-minimally-invasive-lumbar-decompression-procedure-after-an-interspinous-spacer-device-implantation-an-uncommon-order-of-treatment-with-a-successful","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T15:05:41Z","timestamp":1739286341000},"score":1,"resource":{"primary":{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/35844-a-minimally-invasive-lumbar-decompression-procedure-after-an-interspinous-spacer-device-implantation-an-uncommon-order-of-treatment-with-a-successful"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,27]]},"references-count":9,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.52965\/001c.35844","relation":{},"ISSN":["2035-8164"],"issn-type":[{"value":"2035-8164","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,27]]}}}