Single-Level versus Two-Level Decompression for Adjacent Segment Spinal Stenosis

Single- and two-level decompression groups exhibited similar clinical outcomes in patients with symptomatic stenosis at one level and radiographic stenosis at the upper adjacent level. The two-level decompression group may be associated with a relatively lower reoperation rate at the upper adjacent level, suggesting possible benefit of two-level decompression.

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Publication Details

Journal
Spine
Published
2025-10-16
DOI
https://doi.org/10.1097/brs.0000000000005540
Primary Topic
Spine and Intervertebral Disc Pathology
Type
article
Field-Weighted Citation Impact
0.00
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article

Single-Level versus Two-Level Decompression for Adjacent Segment Spinal Stenosis

Tomoyuki Asada, Felipe Colon, Josh Zhang, James Dowdell et al.
Spine
Spine and Intervertebral Disc Pathology
article

Single-Level versus Two-Level Decompression for Adjacent Segment Spinal Stenosis

Tomoyuki Asada, Felipe Colon, Josh Zhang, James Dowdell, Sheeraz A. Qureshi, Andrea Pezzi, Adrian Lui, Olivia Tuma, Anthony Lewis, Sereen Halayqeh, Nicholas Giattino
article en

Abstract

Single- and two-level decompression groups exhibited similar clinical outcomes in patients with symptomatic stenosis at one level and radiographic stenosis at the upper adjacent level. The two-level decompression group may be associated with a relatively lower reoperation rate at the upper adjacent level, suggesting possible benefit of two-level decompression.

Spine
Hospital for Special Surgery (US), Cornell University (US), Advisory Board Company (United States) (US), National Center for Advancing Translational Sciences (US)
Openalex Percentile: Top 59%
Spine and Intervertebral Disc Pathology
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Single-Level versus Two-Level Decompression for Adjacent Segment Spinal Stenosis — Tomoyuki Asada, Felipe Colon, et al. · Spine (2025) | TGRS Research Map | TGRS