Best Practices for Minimally Invasive Lumbar Spinal Stenosis Treatment 2.0 (MIST): Consensus Guidance from the American Society of Pain and Neuroscience (ASPN)
Year: 2022
Type: review
Abstract: Introduction: Lumbar spinal stenosis (LSS) is a common spinal disease of aging with a growing patient population, paralleling population growth. Minimally invasive treatments are evolving, and the use of these techniques needs guidance to provide the optimal patient safety and efficacy outcomes. Methods: The American Society of Pain and Neuroscience (ASPN) identified an educational need for guidance on the prudent use of the innovative minimally invasive surgical therapies for the treatment of symptomatic LSS. The executive board nominated experts spanning anesthesiology, physiatry, orthopedic surgery, and neurosurgery based on expertise, publications, research, diversity and field of practice. Evidence was reviewed, graded using the United States Preventive Services Task Force (USPSTF) criteria for evidence and recommendation strength and grade, and expert opinion was added to make consensus points for best practice. Results: The world literature in English was searched using Medline, EMBASE, Cochrane CENTRAL, BioMed Central, Web of Science, Google Scholar, PubMed, Current Contents Connect, Scopus, and meeting abstracts to identify and compile the evidence (per section) for LSS-related pain. Search words were selected based upon the section represented. Identified peer-reviewed literature was critiqued using USPSTF criteria and consensus points are presented. Discussion: The algorithm for patient selection in the management of symptomatic spinal stenosis is evolving. Careful consideration of patient selection and anatomic architecture variance is critical for improved outcomes and patient safety. Conclusion: ASPN created a guidance for best practice for minimally invasive surgical treatment of symptomatic spinal stenosis.
Source: Journal of Pain Research
DOI: 10.2147/jpr.s355285
Authors: Timothy R Deer, Jay S Grider, Jason E Pope, Tim J Lamer, Sayed E Wahezi, Jonathan M Hagedorn, Steven Falowski, Reda Tolba, Jay M Shah, Natalie Strand, Alex Escobar, Mark Malinowski, Anjum Bux, Navdeep Jassal, Jennifer Hah, Jacqueline Weisbein, Nestor D Tomycz, Jessica Jameson, Erika A Petersen, Dawood Sayed
Institutions: University of Kentucky HealthCare, University of Kentucky, Evolve Restorative Center, Mayo Clinic, Montefiore Medical Center, University at Buffalo, State University of New York, Cleveland Clinic Abu Dhabi, Mayo Clinic Hospital, University of Toledo Medical Center, OhioHealth, Stanford University, Allegheny Health Network, Allegheny General Hospital, University of Arkansas for Medical Sciences, The University of Kansas Health System
Language: English
Subfield: Pathology and Forensic Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,836
OpenAlex ID: W4229060550