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Şişli Etfal Eğitim Araştırma Hastanesi, Nöroşirürji Kliniği, İstanbul, Türkiye Unilateral approach for bilateral decompression of the spine in the treatment of lumbar spinal stenozis, is a minimal invasive surgical method achieving satisfactory results.Low complication rate and hospitalization time, minimal blood loss and not to cause instability are advantages of this method. It appears as an advantageous and priority method in the selection of surgical treatment modalities of lumbar spinal stenozis patients in clinical series.However, total laminectomy and stabilization and fusion is still relevant method as a conventional technique in the surgical treatment of patients with severe lumbar spinal instability which is demonstrated with preoperative radiologic investigations and physical examination. The details of the method and its advantages over other methods are discussed in this review. Anahtar Kelimeler : Lumbar spinal stenozis, Unilateral approach, Bilateral decompression, Instability