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Research ArticleLumbar Spine

Patients Undergoing 3-Level-or-Greater Decompression-Only Surgery for Lumbar Spinal Stenosis Have Similar Outcomes to Those Undergoing Single-Level Surgery at 2 Years

Michael T. Nolte, Philip K. Louie, Bryce A. Basques, Arya G. Varthi, Justin C. Paul, Krishn Khanna, Tarush Khurana, Arshan Chaudhri, Dino Samartzis, Edward J. Goldberg and Howard S. An
International Journal of Spine Surgery October 2021, 15 (5) 945-952; DOI: https://doi.org/10.14444/8124
Michael T. Nolte
1Rush University Medical Center, Department of Orthopaedic Surgery, Chicago, Illinois
MD
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Philip K. Louie
2Hospital for Special Surgery, Department of Orthopaedic Surgery, New York, New York
MD
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Bryce A. Basques
1Rush University Medical Center, Department of Orthopaedic Surgery, Chicago, Illinois
MD
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Arya G. Varthi
3Yale School of Medicine, Orthopaedics, and Rehabilitation, New Haven, Connecticut
MD
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Justin C. Paul
4OrthoConnecticut, Danbury, Connecticut
MD, PHD
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Krishn Khanna
1Rush University Medical Center, Department of Orthopaedic Surgery, Chicago, Illinois
MD
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Tarush Khurana
1Rush University Medical Center, Department of Orthopaedic Surgery, Chicago, Illinois
BS
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Arshan Chaudhri
1Rush University Medical Center, Department of Orthopaedic Surgery, Chicago, Illinois
MS
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Dino Samartzis
1Rush University Medical Center, Department of Orthopaedic Surgery, Chicago, Illinois
DSC
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Edward J. Goldberg
1Rush University Medical Center, Department of Orthopaedic Surgery, Chicago, Illinois
MD
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Howard S. An
1Rush University Medical Center, Department of Orthopaedic Surgery, Chicago, Illinois
MD
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    Figure 1

    Multiple level lumbar decompression with completion of spinous processes and lamina removal from pathologic levels. A foraminotomy is being performed by following the nerve root into the foramen with the Kerrison rongeur. Final visualization should ensure that all affected nerve roots are free and mobile.

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International Journal of Spine Surgery
Vol. 15, Issue 5
1 Oct 2021
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Patients Undergoing 3-Level-or-Greater Decompression-Only Surgery for Lumbar Spinal Stenosis Have Similar Outcomes to Those Undergoing Single-Level Surgery at 2 Years
Michael T. Nolte, Philip K. Louie, Bryce A. Basques, Arya G. Varthi, Justin C. Paul, Krishn Khanna, Tarush Khurana, Arshan Chaudhri, Dino Samartzis, Edward J. Goldberg, Howard S. An
International Journal of Spine Surgery Oct 2021, 15 (5) 945-952; DOI: 10.14444/8124

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Patients Undergoing 3-Level-or-Greater Decompression-Only Surgery for Lumbar Spinal Stenosis Have Similar Outcomes to Those Undergoing Single-Level Surgery at 2 Years
Michael T. Nolte, Philip K. Louie, Bryce A. Basques, Arya G. Varthi, Justin C. Paul, Krishn Khanna, Tarush Khurana, Arshan Chaudhri, Dino Samartzis, Edward J. Goldberg, Howard S. An
International Journal of Spine Surgery Oct 2021, 15 (5) 945-952; DOI: 10.14444/8124
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  • The Influence of Spinous Process Union on Clinical Outcomes After Spinous Process Osteotomy for Lumbar Spinal Stenosis After 2 Years: A Secondary Analysis From the NORDSTEN-Study
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More in this TOC Section

  • Sexual Dysfunction and Urinary Incontinence in Female Patients Following Primary Anterior Lumbar Interbody Fusion: A Survey of 84 Patients
  • Comparison of Stand-Alone Anterior Lumbar Interbody Fusion, 360° Anterior Lumbar Interbody Fusion, and Arthroplasty for Recurrent Lumbar Disc Herniation: Focus on Nerve Decompression and Painful Spinal Instability Resolution
  • Recovery Trajectories After Lumbar Fusion Stratified by Baseline Patient-Reported Outcomes Measurement Information System Physical Function Disability Levels
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Keywords

  • lumbar spinal stenosis
  • multilevel laminectomy without fusion
  • decompression-only laminectomy
  • stability-preserving laminectomy

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