How I do it: bilateral lumbar spinal canal microsurgical decompression via unilateral approach

  • Igor BorshchenkoEmail author
  • Abram Gulzatyan
  • Roman Kartavykh
  • Andrey Grin
How I Do it - Spine degenerative
Part of the following topical collections:
  1. Spine degenerative



Bilateral lumbar spinal canal decompression via unilateral approach is a surgical way to treat degenerative spinal canal stenosis.


We report the treatment of degenerative lumbar spinal canal stenosis by removing overgrown ligaments, bone, and other compromising tissue on both sides of the spinal canal, using one side approach, avoiding surgical trauma of the counter side of the spine.


This technique allows to achieve perfect results using common microsurgical instruments and Caspar distractor for one or multilevel surgery.


Microsurgical spinal canal decompression Degenerative lumbar spine stenosis Surgical technique 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of Ethical Committee of the Ministry of Health of the Russian Federation and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Supplementary material

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ESM 1 (3GP 6058 kb)


  1. 1.
    Adams MA, Hutton WC (1983) The mechanical function of the lumbar apophyseal joints. Spine 8(3):327–330CrossRefGoogle Scholar
  2. 2.
    Arnoldi CC, Brodsky AE, Cauchoix J et al (1976) Lumbar spinal stenosis and nerve root entrapment syndromes. Definition and classification. Clin Orthop 115:4–5Google Scholar
  3. 3.
    Bai B, Li Y (2016) Analysis of surgeries for degenerative lumbarstenosis in elderly patients. Pak J Med Sci 32(1):134–137Google Scholar
  4. 4.
    Genevay S, Atlas SJ (2010) Lumbar spinal stenosis. Best Pract Res Clin Rheumatol 24(2):253–265CrossRefGoogle Scholar
  5. 5.
    Machado GC, Ferreira PH, Harris IA, Pinheiro MB, Koes BW, van Tulder M, Rzewuska M, Maher CG, Ferreira ML (2015) Effectiveness of surgery for lumbar spinal stenosis: a systematic review and meta-analysis. PLoS One.
  6. 6.
    Otani K, Kikuchi S, Yabuki S, Igarashi T, Nikaido T, Watanabe K, Konno S (2013) Lumbar spinal stenosis has a negative impact on quality of life compared with other comorbidities: an epidemiological cross-sectional study of 1862 community-dwelling individuals. Sci World J.
  7. 7.
    Poletti CE (1995) Central lumbar stenosis caused by ligamentum flavum: unilateral laminotomy for bilateral ligamentectomy: preliminary report of two cases. Neurosurgery 37(2):343–347CrossRefGoogle Scholar
  8. 8.
    Sasai K, Umeda M, Maruyama T, Wakabayashi E, Iida H (2008) Microsurgical bilateral decompression via a unilateral approach for lumbar spinal canal stenosis including degenerative spondylolisthesis. J Neurosurg Spine 9(6):554–559CrossRefGoogle Scholar
  9. 9.
    Spetzger U, Bertalanffy H, Reinges MH, Gilsbach JM (1997) Unilateral laminotomy for bilateral decompression of lumbar spinal stenosis. Part II: clinical experiences. Acta Neurochir 139(5):397–403CrossRefGoogle Scholar
  10. 10.
    Thomé C, Zevgaridis D, Leheta O, Bäzner H, Pöckler-Schöniger C, Wöhrle J, Schmiedek P (2005) Outcome after less-invasive decompression of lumbar spinal stenosis: a randomized comparison of unilateral laminotomy, bilateral laminotomy, and laminectomy. J Neurosurg Spine 3(2):129–141CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  1. 1.N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare DepartmentMoscowRussia
  2. 2.Orthospine ClinicMoscowRussia
  3. 3.Department of Nervous Diseases and NeurosurgeryRUDNMoscowRussia

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