Surgical Versus Non-surgical Management of Lumbar Spinal Stenosis

Lumbar spinal stenosis is a common degenerative disorder affecting the lumbar spine. It is most commonly associated with facet arthropathy and hypertrophied ligamentum flavum, with a small subset due to large acute disc herniations. Patients may present with a wide variety of neurological signs and...

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Bibliographic Details
Published in:Current physical medicine and rehabilitation reports 2013-09, Vol.1 (3), p.169-173
Main Authors: Kaloostian, Paul E., Gokaslan, Ziya L.
Format: Article
Language:English
Subjects:
Back pain
Bladder
Cauda Equina Syndrome
Epidural
Hot Topic
Magnetic resonance imaging
Medicine
Medicine & Public Health
Patients
Rehabilitation Medicine
Spinal stenosis
Steroids
X-rays
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Description
Summary:Lumbar spinal stenosis is a common degenerative disorder affecting the lumbar spine. It is most commonly associated with facet arthropathy and hypertrophied ligamentum flavum, with a small subset due to large acute disc herniations. Patients may present with a wide variety of neurological signs and symptoms, ranging from asymptomatic presentation to neurogenic claudication, and in the most severe form, cauda equina syndrome. Methods of diagnosis include careful history and physical examination, along with magnetic resonance imaging. Non-surgical management includes physical therapy, pain management, and epidural steroid injections. Surgical treatment includes lumbar laminectomy with or without fusion. A review of the causes and treatment options for lumbar stenosis is described in this manuscript.
ISSN:2167-4833
2167-4833
DOI:10.1007/s40141-013-0018-x