Lumbar spinal stenosis: current concept of management

Area of Science:

• Spine Surgery
• Neurosurgery
• Orthopedic Surgery

Background:

• Lumbar spinal stenosis (LSS) is a prevalent degenerative condition causing debilitating symptoms like neurogenic claudication and lower back pain.
• While conservative and surgical options exist, surgery offers faster relief for refractory LSS symptoms, aiding functional recovery and fall prevention.

Purpose of the Study:

• To provide an updated review of Lumbar Spinal Stenosis (LSS), encompassing pathophysiology, clinical assessment, diagnosis, and treatment.
• To highlight the increasing significance of Biportal Endoscopic Spine Surgery (BESS) and digital technologies in managing LSS.

Main Methods:

• Review of current literature on Lumbar Spinal Stenosis (LSS) management.
• Emphasis on Biportal Endoscopic Spine Surgery (BESS) as a minimally invasive approach.
• Exploration of advanced technologies: navigation systems, robotics, and Artificial Intelligence (AI) in spinal surgery.

Main Results:

• Biportal Endoscopic Spine Surgery (BESS) demonstrates promising outcomes, offering advantages over traditional methods like reduced tissue damage and faster recovery.
• Integration of navigation, robotics, and AI enhances surgical precision, reduces complications, and improves reproducibility.
• High-quality studies, including RCTs, support the efficacy of BESS for LSS treatment.

Conclusions:

• Biportal Endoscopic Spine Surgery (BESS) represents a significant advancement in minimally invasive LSS treatment.
• Digital technologies (navigation, robotics, AI) are revolutionizing spinal surgery, improving preoperative planning and intraoperative accuracy for LSS.
• These innovations are reshaping the landscape of spinal stenosis care, offering improved patient outcomes.