Appropriate selection of patients with lumbar spinal stenosis for interspinous process decompression with the X STOP device

Neurosurg Focus. 2007 Dec 15;22(1):E5. doi: 10.3171/foc.2007.22.1.5.


With the aging of the population, the number of patients suffering from progressive lumbar spinal stenosis with symptomatic neurogenic intermittent claudication is projected to increase. Unfortunately, these patients are limited to a choice between nonsurgical conservative care and more invasive decompressive surgical procedures such as laminectomy with or without fusion. The X STOP interspinous process decompression system is a commercially available device that provides a minimally invasive alternative treatment, an intermediate option within the continuum of care for these patients. The X STOP is appropriate for patients with moderately severe functional impairment whose symptoms are exacerbated in extension and relieved in flexion. Implanted between the spinous processes without disrupting the normal anatomical structures, the X STOP limits narrowing of the spinal canal and neural foramina by reducing extension at the symptomatic level(s). In this report the author details the approved indications for use of the X STOP and discusses several illustrative cases.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Back Pain / diagnostic imaging
  • Back Pain / pathology
  • Back Pain / surgery
  • Decompression, Surgical / instrumentation*
  • Decompression, Surgical / methods
  • Female
  • Humans
  • Lumbar Vertebrae / diagnostic imaging
  • Lumbar Vertebrae / pathology
  • Lumbar Vertebrae / surgery*
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Patient Selection*
  • Prostheses and Implants*
  • Radiography
  • Severity of Illness Index
  • Spinal Stenosis / diagnostic imaging
  • Spinal Stenosis / pathology
  • Spinal Stenosis / surgery*
  • Spondylolisthesis / diagnostic imaging
  • Spondylolisthesis / pathology
  • Spondylolisthesis / surgery