Abstract
Patients presenting with radiculopathy and/or neurogenic claudication secondary to lumbar spinal stenosis with or without spondylolisthesis often receive destabilizing decompressions that require arthrodesis. Alterations in lumbar biomechanics due to fusion have the potential to accelerate degenerative changes at adjacent levels. Facet replacement as an alternative to fusion may provide the required stability and preserve adjacent level biomechanics thereby mitigating the risk of accelerated degenerative changes.
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