Spinal stenosis is the compression of nerve roots by bone or soft tissue secondary to the narrowing of the spinal canal, lateral recesses, or intervertebral foramina. Spinal stenosis may have acquired or congenital origins. Most cases are acquired and caused by hypertrophy of the ligamentum flavum, enlarged osteophytes, degenerative arthritis, disk herniations, and various systemic illnesses. The ligamentum flavum (LF) is a highly specialized elastic ligament that connects the laminae of the spine and fuses them to the facet joint capsules. There are a number of treatment options available for spinal stenosis. Implants and surgical interventions have grown in popularity recently, and a number of these have been shown to have varying efficacy, including the minimally invasive lumbar decompression (MILD^®), Vertiflex^®, Coflex^® Interlaminar Stabilization, and MinuteMan G3^® procedures. Minimally invasive lumbar decompression (MILD^®) is a minimally invasive outpatient procedure to treat spinal stenosis related to hypertrophied ligamentum flavum. The Superion^® Interspinous Spacer, also known as Vertiflex^®, is a titanium implant that is delivered percutaneously to relieve back pain caused by lumbar spinal stenosis. The MinuteMan^® is a minimally invasive, interspinous-interlaminar fusion device planned for the temporary fixation of the thoracic, lumbar, and sacral spine, which eventually results in bony fusion. Based on our review of the available current scientific literature, the novel interventions for symptomatic lumbar spinal stenosis, such as the MILD^® procedure and the Superion^® interspinous spacer, generally appear to be safe and effective. There is a possibility in the future that these interventions could disrupt current treatment algorithms for lumbar spinal stenosis.

椎管狭窄是继发于椎管、侧隐窝或椎间孔变窄的骨或软组织压迫神经根。椎管狭窄可能有后天或先天性。大多数病例是由黄韧带肥大、骨赘增大、退行性关节炎、椎间盘突出和各种全身性疾病引起的。黄韧带 (LF) 是一种高度专业化的弹性韧带，它连接脊柱的椎板并将它们融合到小关节囊。有多种治疗选择可用于椎管狭窄。植入物和手术干预最近越来越受欢迎，其中一些已被证明具有不同的功效，包括微创腰椎减压术 (MILD ^®)、Vertiflex ^®、Coflex ^®层间稳定和 MinuteMan G3 ^®程序。微创腰椎减压术 (MILD ^® ) 是一种微创门诊手术，用于治疗与肥厚的黄韧带相关的椎管狭窄。Superion ^®棘突间垫片，也称为 Vertiflex ^®，是一种钛植入物，可经皮输送以缓解由腰椎管狭窄引起的背痛。民兵^®是一种微创、棘间-椎板间融合装置，用于临时固定胸椎、腰椎和骶椎，最终实现骨融合。根据我们对现有科学文献的回顾，针对症状性腰椎管狭窄症的新型干预措施，例如 MILD ^®手术和 Superion ^®棘突间间隔物，通常似乎是安全有效的。未来，这些干预措施可能会破坏当前的腰椎管狭窄症治疗算法。