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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

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Published on: November 4, 2010

The MILD procedure.

Gabor B Racz¹, James E Heavner, Hemmo Bosscher

¹Anesthesiology and Pain Management, Texas Tech University Health Sciences Center, Lubbock, Texas 79430, USA.

Pain Practice : the Official Journal of World Institute of Pain

|March 23, 2013

Summary

This summary is machine-generated.

Minimally invasive lumbar decompression (MILD) shows favorable long-term results for spinal stenosis. However, potential major complications and questions about efficacy necessitate further clinical guidance.

Keywords:

MILD procedure complications outcomes safety

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Area of Science:

Neurosurgery
Orthopedic Surgery
Minimally Invasive Procedures

Background:

Spinal stenosis due to hypertrophied ligamentum flavum (LF) is a common condition.
Minimally invasive lumbar decompression (MILD) has emerged as a treatment option.
There are ongoing discussions regarding the long-term efficacy and safety of the MILD procedure.

Purpose of the Study:

To evaluate the generally favorable long-term results of the MILD procedure.
To consider cautionary surgical observations and opinions on MILD.
To address the need for a clinical algorithm for MILD use.

Main Methods:

Review of existing literature and clinical observations.
Analysis of reported long-term outcomes for MILD.
Consideration of reported complications and efficacy data.

Main Results:

Favorable long-term impressions of the MILD procedure exist.
Some reports highlight potential major complications associated with MILD.
Concerns regarding efficacy and placebo effect have been raised.

Conclusions:

The MILD procedure is perceived as virtually safe by some.
Major complications have been described by certain surgical opinions.
A clinical algorithm is needed to guide the use of MILD for spinal stenosis.