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Minimally invasive surgery has gained popularity in recent years, resulting in the development of various interspinous process devices.22 The interspinous process device was developed to stabilize and increase the interspinous distance with indirect decompression of the dural sac and nerve roots.23 24 25 26 27 28 29 30 31 32 33 Treatment of neurogenic claudication with has been shown to be superior to conservative care.34 35 36 The Coflex implant (Paradigm Spine, USA) was developed as a second generation interspinous process device to give indirect decompression with the https://en.wikipedia.org/wiki/Christian_Louboutin possibility of stabilizing the lumbar louboutin new very prive
spine after bony decompression. https://www.christianlouboutinshoesaustralia.nu Although some medical societies in Western countries believe in additional pedicle screw fixation of the lumbar spine, the scientific gold standard of surgical treatment of lumbar spinal stenosis is bony decompression.37 38 All new surgical techniques to treat lumbar spinal stenosis should be compared with this technique.13 14 16 39 Although society might be subjected to media driven medicine and early adoption of surgical implants, the spinal scientific community christian louboutin red bottoms
believes that well designed comparative studies should be conducted before a new implant can replace the gold standard. All patients were diagnosed as having intermittent neurogenic claudication by a neurologist in one of the participating hospitals. If magnetic resonance imaging showed a lumbar spinal canal stenosis, the consulting neurosurgeon could include patients as surgical candidates for the study. At the time of enrollment, an independent research nurse verified the persistence of the symptoms. We excluded patients with a cauda equina syndrome, a herniated disc needing discectomy, history of lumbar surgery, or significant scoliosis (Cobb angle >25) or other spinal deformities.