Hello and welcome to the discussion of "A Randomized Controlled Trial of Fusion Surgery for Lumbar Stenosis" and "Decompression and Fusion versus Laminectomy for Lumbar Spondylolisthesis." I want to thank the authors, Dr. Försth and colleagues as well as Dr. Ghogawala and colleagues, for these two very important and interesting studies discussing the role of decompressive laminectomy with fusion for degenerative lumbar spondylolisthesis with spinal stenosis. I also want to extend an additional thank you to all of the experts for your valuable thoughts over the next ten days.
To begin, I wanted to ask how the experts view the general conclusions from these two studies: that fusion seems to add little value to decompression, other than the marginal improvement in SF-36 scores noted by Dr. Ghogawala and colleagues? Does the data affect how you now view fusion with decompressive laminectomy in these patients?