Endoscopic Decompression is recommendable. You can handle lumbar spinal stenosis without fusion surgery. Just eliminate the hypertrophied spur, thickened lig. flavum and extruded disc!. That's the real enemy that cause neurologic discomfort. You can save facets, interspinous ligament and balance of spinal column and consequently there is no need of instrumentation for degenerative lumbar diseases. Thanks!
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