Latest research on lumbar spinal stenosis

8 papers · updated 2026-09-26 · Spine · All topics

The newest papers on lumbar spinal stenosis from the orthopaedic journals The Reduction reads, newest first, each with a one-line summary. The list is drawn from the digest’s archive and refreshed every week.

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Recent papers

  1. Sarcopenic obesity is associated with more severe functional impairment and lumbar degeneration in patients with degenerative lumbar spinal stenosis.

    European Spine Journal · Sep 22 2026 · PubMed

    In 408 patients with degenerative lumbar spinal stenosis, sarcopenic obesity independently predicted worse ODI scores, more severe disc degeneration, foraminal stenosis, and Modic changes, supporting routine SO screening in preoperative workup.

  2. Paraspinal Muscle Quality and Functional Outcome After Lumbar Spinal Stenosis Surgery.

    Spine · Sep 07 2026 · PubMed

    In 344 lumbar spinal stenosis surgery patients, greater preoperative multifidus fatty infiltration—but not psoas size—predicted worse two-year disability outcomes and lower odds of meaningful improvement.

  3. A Prospective Comparative Study of UBE-ULBD Versus Endo-ULBD for Lumbar Spinal Stenosis.

    Spine · Sep 07 2026 · PubMed

    This RCT of 110 patients found biportal (UBE-ULBD) and single-port endoscopic (Endo-ULBD) decompression for lumbar stenosis yielded comparable clinical and radiological outcomes at 12 months, differing only in operative time and hospital stay.

  4. Complications of Lumbar Spinal Stenosis Surgery and Their Effects on Outcome: A National FinSpine Registry Study.

    Spine · Aug 27 2026 · PubMed

    In a Finnish registry of lumbar stenosis surgery, complications occurred in 16.8% of patients and were linked to older age, higher ASA grade, and multilevel/fusion surgery, substantially raising reoperation risk (especially with hematoma or infection).

  5. Comparison of Posterior Instrumentation With and Without Interbody Fusion for Degenerative Spinal Stenosis.

    Clinical Spine Surgery · Aug 17 2026 · PubMed

    Adding TLIF to posterior instrumentation for short-segment lumbar stenosis improves radiologic fusion but not functional outcomes, while increasing operative time and transfusion needs versus decompression alone.

  6. Preoperative BMI-adjusted sarcopenia defined by AWGS 2025 is associated with 1-year changes in the patient-reported outcomes of lumbar spinal stenosis surgery.

    European Spine Journal · Jun 20 2026 · PubMed

    Preoperative BMI-adjusted sarcopenia independently predicted worse 1-year disability and quality-of-life gains after lumbar spinal stenosis surgery.

  7. Evaluation and Treatment of Tandem Spinal Stenosis.

    Journal of the American Academy of Orthopaedic Surgeons · Mar 15 2020 · Review · PubMed

    This review discusses the prevalence, diagnostic challenges, and surgical management strategies—simultaneous versus staged—for tandem spinal stenosis affecting noncontiguous cervical and lumbar regions.

  8. Revision after spinal stenosis surgery.

    European Spine Journal · Jan 29 2020 · Review · PubMed

    This literature review on reoperation after spinal stenosis surgery highlights causes like inadequate decompression or hardware malposition and stresses careful preoperative planning and intraoperative imaging to reduce revisions.

Landmark papers

  1. Degenerative lumbar spondylolisthesis with spinal stenosis. A prospective study comparing decompression with decompression and intertransverse process arthrodesis.

    Journal of Bone and Joint Surgery (American) · 1991 · cited 1,035 times · PubMed

    In degenerative lumbar spondylolisthesis with stenosis, adding intertransverse process arthrodesis to decompression produced significantly better pain relief than decompression alone.

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