I see that there is a lot of news about spinal fusions for treatment of spinal stenosis.I only fuse when there is an unstable spine noted at time of surgery.The fusion is to prevent slippage of the spine that will causee compression of the nerves. Manytimes this can be performed using less invasive newer procedures.I like to use very little hardware su h as rods and scews for spinal fusions.The goal is early return of function and less need to be in a hospital.The majority of my patients are outpatient surgeries using these newer less invasive techniques.I believe the other medical illnesses of a patient demand thought prior to surgery regarding extent of surgery.Prevention of complications by less invasive procedures is extremely important part of surgical planning.