Publication Name	World Journal of Orthopedics
Manuscript ID	113932
Country	Greece

Category	Orthopedics
Manuscript Type	Minireviews
Article Title	Laminectomy alone vs laminectomy with posterior fusion in lumbar spinal stenosis: The role of instability
Manuscript Source	Unsolicited Manuscript
All Author List	Mikail Chatzivasiliadis, Panagiotis Konstantinou, Dimitrios Koulalis, Lazaros Kostretzis, Nikolaos Gkantsinikoudis, Constantinos Chaniotakis, Krikor Gkoumousian and Stylianos Kapetanakis
Funding Agency and Grant Number
Corresponding Author	Panagiotis Konstantinou, Chief Physician, MD, Department of Orthopaedic II, General Hospital of Athens “G. Gennimatas”, Ethnikis Aminis 41, Thessaloniki 54635, Kentrikí Makedonía, Greece. pkonsb@auth.gr
Key Words	Lumbar spinal stenosis; Laminectomy; Posterior fusion; Spinal instability; Degenerative spondylolisthesis; Fusion; Guideline recommendations
Core Tip	Lumbar spinal stenosis is common in older adults, and laminectomy is the gold standard when surgery is required. The decision to add posterior fusion, however, is less clear when instability is not well defined. Spinal fusion is an irreversible intervention that permanently alters spinal biomechanics, making careful patient selection essential. This review explores the anatomical and biomechanical factors behind the controversy, the varying definitions of instability, and how these shape surgical practice. By comparing laminectomy alone with laminectomy plus fusion, we highlight current uncertainties and emphasize the need for clearer criteria and stronger evidence to guide surgeons in managing borderline cases.
Citation	Chatzivasiliadis M, Konstantinou P, Koulalis D, Kostretzis L, Gkantsinikoudis N, Chaniotakis C, Gkoumousian K, Kapetanakis S. Laminectomy alone vs laminectomy with posterior fusion in lumbar spinal stenosis: The role of instability. World J Orthop 2025; In press

Received	2025-09-09 09:55
Peer-Review Started	2025-09-09 09:55
To Make the First Decision
Return for Revision	2025-10-10 09:00
Revised	2025-10-15 14:34
Second Decision	2025-11-24 02:45
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-11-24 09:46
Articles in Press	2025-11-24 09:46
Publication Fee Transferred	2025-10-20 16:51
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ISSN	2218-5836 (online)
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