Degenerative lumbar stenosis: update

Arquivos de Neuro-Psiquiatria

Andrei F. Joaquim²  Charles A. Sansur¹  David K. Hamilton¹  Christopher I. Shaffrey¹ 

[1] ,University of Campinas Department of Neurology Campinas SP ,Brazil

关键词: acquired lumbar stenosis;    surgical treatment;    new techniques;    fusion;    estenose lombar adquirida;    tratamento cirúrgico;    novas técnicas;    fusão;   

DOI  :  10.1590/S0004-282X2009000300039

来源: SciELO

【 摘 要 】

We present a literature review of the diagnosis and treatment of acquired lumbar spinal stenosis (LS), with a brief description of new surgical techniques. LS is the most common cause of spinal surgery in individuals older than 65 years of age. Neurogenic claudication and radiculopathy result from compression of the cauda equina and lumbosacral nerve roots by degenerated spinal elements. Surgical decompression is a well established treatment for patients with refractory, or moderate to severe clinical symptoms. However, the variety of surgical options is vast. New techniques have been developed with the goal of increasing long term functional outcomes. In this article we review lumbar decompression and fusion as treatment options for LS but also present other recent developments. Prospective long term studies are necessary to know which procedures would result in optimal patient outcome.

【 授权许可】

CC BY   
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