Contralateral trans-spinous base inclined approach using AUSS for two-level lumbar lateral recess and foraminal stenosis: a case report - Takeaways - MDSpire

Contralateral trans-spinous base inclined approach using AUSS for two-level lumbar lateral recess and foraminal stenosis: a case report

  • By

  • Baogui Gao

  • Fulong Wu

  • Huiyan Wang

  • Caimei Meng

  • Liuzhong Qiang

  • Longfei Mo

  • Shiheng Lu

  • Zhaojian Zhang

  • Shuying Shu

  • Xuemei Li

  • Zhonghua Li

  • Changze Yu

  • Genping Gao

  • Caizhi Liao

  • June 11, 2026

  • 0 min

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  • 1

    Lumbar spinal stenosis (LSS) is prevalent in the elderly, often leading to significant quality of life impairment.

  • 2

    The contralateral trans-spinous base inclined (CTI) approach-AUSS was utilized for a 72-year-old man with multilevel LSS.

  • 3

    Postoperative outcomes showed immediate pain relief and neurological improvement, with effective decompression confirmed by imaging.

  • 4

    The CTI-AUSS technique achieved a 93.97% preservation rate of facet joints while minimizing risks of instability.

  • 5

    This case highlights a minimally invasive surgical option for treating complex lumbar stenosis in elderly patients.

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