Here is a paper that I explain in this video
Lumbar stenosis surgery compared to non surgical intervention has no better outcomes but increases bad side effects. I feel if our patients are happy with the care, than we can justify our treatment.
Conclusion. We cannot conclude on the basis of this review whether surgical or nonsurgical treatment is better for individuals with LSS. Nevertheless, we can report on the high rate of effects reported in three of five surgical groups, ranging from 10% to 24%. No side effects were reported for any of the conservative treatment options
SPINE Volume 41, Number 14, pp E857–E868 2016 Surgical Versus Nonsurgical Treatment for Lumbar Spinal Stenosis Fabio Zaina, MD, Christy Tomkins-Lane, PhD,y Eugene Carragee, MD,z and Stefano Negrini, MD§