Degenerative lumbar stenosis: update

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Degenerative lumbar stenosis: update.

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. Surgic...

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Degenerative lumbar spinal stenosis: evaluation and management.

Degenerative lumbar spinal stenosis is caused by mechanical factors and/or biochemical alterations within the intervertebral disk that lead to disk space collapse, facet joint hypertrophy, soft-tissue infolding, and osteophyte formation, which narrows the space available for the thecal sac and exiting nerve roots. The clinical consequence of this compression is neurogenic claudication and varyi...

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Surgical treatment of degenerative lumbar spinal stenosis

Degenerative lumbar spinal stenosis is the most common indication for lumbar spine surgery in adults over the age of 65. Although some studies have claimed improvement with conservative treatment, several comparative studies have shown better outcomes for surgical treatment for patients with moderate to severe stenosis. As the life expectancy of the elderly population increases, and by virtue o...

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Degenerative Stenosis of the Lumbar Spine

This paper presents an update on degenerative stenosis of the lumbar spine, which is a common pathological condition among patients over the age of 65 years. The anamnesis and physical examination need to be precise, since radiography often only provides indirect signs. Magnetic resonance imaging is necessary if the symptoms persist. The treatment for lumbar stenosis is a matter of controversy....

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Degenerative Lumbar Spinal Stenosis: Diagnosis and Management

Lumbar Spinal Stenosis (LSS) is one of the most common spinal pathologies in the United States. LSS is a degenerative spine disorder that affects primarily people over the age of 50 and is one of the most common sine diagnoses requiring surgical intervention in this age group. This article aims to summarize the presentation, examination, work up, and management of the patient with LSS as well a...

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ژورنال

عنوان ژورنال: Arquivos de Neuro-Psiquiatria

سال: 2009

ISSN: 0004-282X

DOI: 10.1590/s0004-282x2009000300039