Interventional therapy for lumbar stenosis

SUMMARY The clinical syndrome of lumbar stenosis is one where neurophysiological abnormalities better correlate than anatomical ones. However, strategies to impact the disorder are based on improving the anatomical abnormalities seen on advanced imaging. Interventional therapy is one such treatment. However, the literature has fewer controlled prospective trials than clinical series or reviews that support the use of interventional therapy for lumbar stenosis. This review will look at the literature that defines lumbar stenosis and the attempts to show what value interventional therapy has in the management of these patients. Future literature should capitalize on the technology of comparative effectiveness research to better understand how these and newer therapies should best be used in the care of patients with lumbar stenosis.