2009
DOI: 10.1097/brs.0b013e318195d943
|View full text |Cite
|
Sign up to set email alerts
|

Muscle-Preserving Interlaminar Decompression for the Lumbar Spine

Abstract: In MILD for the lumbar spine, damage to the posterior stabilizing structures such as the intervertebral facet joints, paravertebral muscles, thoracolumbar fascia, supra- and interspinous ligaments, can be minimized, while preserving the function of the spinous processes as lever arms for lumbar extension.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
3
2

Citation Types

1
16
1

Year Published

2011
2011
2019
2019

Publication Types

Select...
6
2

Relationship

1
7

Authors

Journals

citations
Cited by 54 publications
(18 citation statements)
references
References 13 publications
1
16
1
Order By: Relevance
“…In cases with mild to moderate stenosis localized to a limited area, such as in groups I–IV (but not in group V), this recommendation could be successful [2]. Several recent modifications to the posterior surgical techniques, including the muscle-preserving inter-laminar approach and the contra-lateral approach, may be helpful in maintaining the postoperative stability of the affected segment [161718]. However, it is very difficult to obtain stability after surgery, especially in cases with severe circumferential stenosis in group V or severe stenosis along the entire nerve root canal as seen in group III.…”
Section: Discussionmentioning
confidence: 99%
“…In cases with mild to moderate stenosis localized to a limited area, such as in groups I–IV (but not in group V), this recommendation could be successful [2]. Several recent modifications to the posterior surgical techniques, including the muscle-preserving inter-laminar approach and the contra-lateral approach, may be helpful in maintaining the postoperative stability of the affected segment [161718]. However, it is very difficult to obtain stability after surgery, especially in cases with severe circumferential stenosis in group V or severe stenosis along the entire nerve root canal as seen in group III.…”
Section: Discussionmentioning
confidence: 99%
“…To overcome these problems, minimal invasive procedures have been reported in the literature [10]- [14]. The most common minimal invasive approaches are: the muscle-preserving interlaminar decompression (MILD), introduced by Hatta et al [8] and the unilateral approach for bilateral decompression (ULBD), reported by Spetzger et al [9]. Briefly, in the first procedure [8], the supraspinous ligament is longitudinally split down the middle, and both the caudal part of the upper adjacent spinous process and the cranial part of the lower adjacent spinous process are exposed by detaching the supraspinous ligament.…”
Section: Discussionmentioning
confidence: 99%
“…The most common minimal invasive approaches are: the muscle-preserving interlaminar decompression (MILD), introduced by Hatta et al [8] and the unilateral approach for bilateral decompression (ULBD), reported by Spetzger et al [9]. Briefly, in the first procedure [8], the supraspinous ligament is longitudinally split down the middle, and both the caudal part of the upper adjacent spinous process and the cranial part of the lower adjacent spinous process are exposed by detaching the supraspinous ligament. The exposed portions of the spinous processes are removed with the cranial third of the lower adjacent lamina, to free the caudal margin of the ligamentum flavum.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…To preserve the facet joint and paraspinal muscles, certain studies have reported minimally invasive decompression surgery with a microscope or microendoscope [123]. However, little is known about the relationship between postoperative spinal instability and facet joint preservation.…”
Section: Introductionmentioning
confidence: 99%