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Updated: Jul 19, 2026

Percutaneous Endoscopic Unilateral-Approach Bilateral Decompression for Lumbar Spinal Stenosis
Published on: February 9, 2024
Interspinous process decompression (IPD) system (X-STOP) for the treatment of lumbar spinal stenosis
1Department of Neurospine Surgery, California Center for Minimally Invasive Spine Surgery, California Spine Institute Medical Center, Newbury Park, CA, USA.
Abstract:
With increased life expectancy and an aging population, many patients suffering from progressive lumbar spinal stenosis with symptomatic neurogenic intermittent claudication (NIC) have been limited to a choice between nonsurgical therapies or a more traumatic decompressive surgical procedure, with or without lumbar fusion. The interspinous process decompression (IPD) system, the X-STOP implant, was developed to provide a minimally invasive alternative therapeutic treatment of lumbar spinal stenosis. The X-STOP IPD system, surgical indications, operative techniques, and the potential complications and their avoidance are described and discussed herein.
