Benditz, A. and Grifka, J. (2019) Lumbar spinal stenosis. From the diagnosis to the correct treatment. ORTHOPADE, 48 (2). pp. 179-192. ISSN 0085-4530, 1433-0431
Full text not available from this repository. (Request a copy)Abstract
The number of patients with the diagnosis of lumbar spinal stenosis (LSS) is steadily increasing and simultaneously, the patients' expectations are also increasing. Nevertheless, evidence from studies for the appropriate treatment is still lacking. Treatment options mainly result from the practitioner 's experience and the clinical focus. The findings described in magnetic resonance imaging (MRI) often do not correlate with the patient's symptoms. Basically, the treatment should be started with aconservative treatment and preferably with a multimodal approach. Severe pain with extensive neurogenic claudication symptoms and unsuccessful conservative treatment should be treated surgically. Absolute indications for surgery, such as aconus-cauda syndrome are rare. The goal of all surgical procedures is to decompress the spinal canal without compromising the stability of the motion segment. Instability can also make an additional fusion necessary.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | LOW-BACK-PAIN; LIGAMENTUM-FLAVUM; CANAL STENOSIS; ADULT PATIENTS; MANAGEMENT; DEPRESSION; PATHOLOGY; SCIATICA; CLAUDICATION; PREVALENCE; Microdecompression; Sciatica; Neurogenic claudication; Spinal fusion; Multimodal treatment approach |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Orthopädie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 20 Apr 2020 06:39 |
| Last Modified: | 20 Apr 2020 06:39 |
| URI: | https://pred.uni-regensburg.de/id/eprint/27644 |
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