====== Lumbar foraminal stenosis surgery approaches ======

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Items that factor into consideration when choosing which procedure to use include:

1. consider indirect decompression ([[lateral interbody fusion]] (e.g.[[XLIF]]® or [[DLIF]]®), [[ALIF]], interspinous decompression (e.g. [[X-Stop]]):

a) when foraminal stenosis appears to be the dominant problem (e.g. with loss of disc space height, facet hypertrophy, on the concave side of a scoliotic curve)

b) previous spine surgery that might make exposure of the nerves more

[[Minimally invasive lateral retroperitoneal transpsoas interbody fusion]].

[[Minimally invasive transforaminal lumbar interbody fusion]] [[MIS-TLIF]]

[[Unilateral transforaminal lumbar interbody fusion]]

see also [[Percutaneous endoscopic lumbar foraminotomy]].

[[Percutaneous transforaminal endoscopic surgery]] ([[PTES]])