Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 10: fusion following decompression in patients with stenosis without spondylolisthesis.
Resnick DK, Choudhri TF, Dailey AT, et al.
J Neurosurg Spine. 2005; 2: 686-691.
PMID: 16028738
This paper provides treatment guidelines for stenosis without spondylolisthesis based on a review of 26 level-III studies. Fusion is recommended in addition to decompression only when pre-existing or iatrogenic instability is present. This AANS/CNS guideline provides the best recommendations for surgeons considering fusion or supplemental instrumentation for stenosis.
web: http://www.ncbi.nlm.nih.gov/pubmed/16028738