Symptomatic LSS can be treated with a variety of different modalities. Conservative treatment can consist of physical therapy, pain management, chiropractic care, acupuncture, and medications. When conservative treatments fail, surgery would then be an option. The Spine Patient Outcomes Research Trial (SPORT) compared conservative treatment of LSS with a surgical intervention. Unilateral laminotomy was performed with shorter operative times, less blood loss, and induced less translational motion increase after surgery than patients who received the bilateral laminotomy. Thus, unilateral laminotomy, compared to bilateral laminotomy for bilateral decompression, may reduce the risk of late instability, result in less operative blood loss, and have a shorter operative time
Citation: Perry MW, Hudak EM, Luke TA (2013) Minimally Invasive Surgical Treatment for Severe Symptomatic Lumbar Spinal Stenosis: A Case Study. J Spine 2:130.