Surgery for spinal stenosis: more thought, less metal?

Welcome to the third edition of JSS. We have received several excellent commentaries based on two recently published randomized controlled trials in the New England Journal of Medicine on the topic of surgery for lumbar spinal stenosis in the context of spondylolisthesis (1,2). These two thought provoking articles have elicited a number of diverse opinions in the literature, based on the importance of this degenerative condition which is a major contributor to pain and disability in the elderly.