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Lumbar spinal stenosis LSS is a medical condition in which the spinal canal narrows and compresses the nerves and blood vessels at the level of the lumbar vertebrae. Spinal stenosis may also affect the cervical or thoracic region, in which case it is known as cervical spinal stenosis or thoracic spinal stenosis. Lumbar spinal stenosis can cause pain in the low back or buttocks, abnormal sensations, and the absence of sensation numbness in the legs, thighs, feet, or buttocks, or loss of bladder and bowel control. Lumbar spinal stenosis LSS is a medical condition in which the spinal canal narrows and compresses the nerves and blood vessels at the level of the lumbar vertebrae. Spinal stenosis may also affect the cervical or thoracic region, in which case it is known as cervical spinal stenosis or thoracic spinal stenosis. Lumbar spinal stenosis can cause pain in the low back or buttocks, abnormal sensations, and the absence of sensation (numbness) in the legs, thighs, feet, or buttocks, or loss of bladder and bowel control. Surgery appears to lead to better outcomes if symptoms continue after 3–6 months of conservative treatment. Another procedure using an interspinous distraction device known as X-STOP was less effective and more expensive when more than one spinal level are repaired. Both surgical procedures are more expensive than medical management.

According to a review written by Olaf J. Verhoof, Johannes L. Bron, Frits H. Wapstra, and Barend J. van Royen, and published by The NCBI website, there is a high failure rate of the interspinous distraction device (X-Stop) for the treatment of lumbar spinal stenosis caused by degenerative spondylolisthesis. In conclusion, the X-Stop interspinous distraction device showed an extremely high failure rate, defined as surgical re-intervention, after short-term follow-up in patients with spinal stenosis caused by degenerative spondylolisthesis. We do not recommend the X-Stop for the treatment of lumbar spinal stenosis with degenerative spondylolisthesis, and we consider a degenerative spondylolisthesis a contra-indication for the X-Stop interspinous distraction device.

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