Lumbar spinal stenosis
DOI:
https://doi.org/10.25305/unj.108004Keywords:
spinal stenosis, neurogenic claudication, decompressive laminectomy, interspinous fixation systemAbstract
Lumbar spinal stenosis is widespread pathology. It is found at almost 8% of population. Modern classifications of lumbar spinal stenosis and it’s etiologic factors are given. Pathophysiological mechanisms of stenosis are caused by three groups of factors: epidural pressure increasing, aseptic inflammation and ischemia. That causes characteristic patient’s complaints — back pain, neurogenic claudication, radiculopathy.
Spinal stenosis treatment, as a rule, is surgical, conservative treatment in ineffective. In our days such types of surgical interventions are performed at lumbar spinal stenosis: decompressive laminectomy, fusion and dynamic interspinous devices setting. Each of these methods has it’s own advantages and failings. Efficacy of this operations, their pathophysiological ground and features of application at stenosis, combined with instability, are described in details.
References
Антипко Л.Э. Стеноз позвоночного канала. — Воронеж: ИПФ “Воронеж”, 2001. — 229 с.
Гармиш А.Р., Педаченко Ю.Е., Радченко В.А., Левшин А.В. Применение динамической системы межостистой стабилизации (“U”-имплантат) в лечении стеноза позвоночного канала на уровне поясничного отдела // Укр. нейрохірург. журн. — 2007. — №1 (37). — С.59–63.
Зозуля Ю.А., Слынько Е.И. Хирургические вмешательства при стенозе поясничного отдела позвоночника // Зозуля Ю.А., Педаченко Е.Г., Слынько Е.И. Хирургическое лечение нейрокомпрессионных пояснично-крестцовых болевых синдромов. — К.: УИПК “ЕксОб”, 2006. — С.213–236.
Орлов Ю.А., Косинов А.Е., Ткач А.И. Болевой синдром при стенозе поясничного отдела позвоночного канала // Вопр. нейрохирургии. — 1987. — №2. — С.60–63.
Amundsen T., Seber H., Lilleas F. et al. Lumbar spinal stenosis: Clinical and radiographic features // Spine. — 1995. — V.20. — P.1178–1186.
Boden S.D., Davis D.O., Dina T.S. et al. Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic patients: A prospective investigation // J. Bone Joint Surg. Am. — 1990. — V.72. — P.403–408.
Bose K., Balasubraniam P. Nerve root canals of the lumbar spine // Spine. — 1984. — V.9. — P.16–18.
CiricI., Mikael M.A., Tarkington J.A. et al. The lateral recess syndrome // J. Neurosurg. — 1980. — V.53. — P.433–443.
De Viliers P.D., Booysen E.L. Fibrous spinal stenosis. A report of 850 myelograms with a water-soluble contrast medium // Clin. Orthop. — 1976. — V.115. — P.140–144.
Epstein N.E. Lumbar spine stenosis // Neurological Surgery / Ed. by R.Winn. —Philadelphia: W.B. Saunders, 2004. — Ch.294. — P.4521–4539.
Hansraj K., O’Leary P., Cammissa F. et al. Decompression, fusion, and instrumentation surgery for complex lumbar spinal stenosis // Clin. Orthop. Rel. Res. — 2001. — V.384. — P.18–25.
Herno A., Airaksinen O., Saari T. et al. Lumbar spine stenosis: A matched pair analysis of operated and non-operated patients // Br. J. Neurosurg. — 1996. — V.10. — P.461–465.
Inufusa A., An H., Lim T. et al. Anatomical changes of the spinal canal and intervertebral foramen associated with flexion-extension movement // Spine. — 1996. — V.21. — P.2412–2420.
Jenis L.G., An H.S. Spine update: Lumbar foraminal stenosis // Spine. — 2000. — V.25. — P.389–394.
Johnsson K.E., Sass M. Cauda equina syndrome in lumbar spinal stenosis: Case report and incidence inJutland,Denmark// J. Spinal Disord. Tech. — 2004. — V.17, N4. — P.334–335.
Johnsson K.E., Uden A., Rosen I. The effect of decompression on the natural course of spinal stenosis: a comparison of surgically treated and untreated patients // Spine. — 1991. — V.16. — P.615–619.
Kanamiya T., Kida H., Seki M. et al. Effect of lumbar disc herniation on clinical symptoms in lateral recess syndrome // Clin. Orthop. — 2002. — V.398. — P.131–135.
Kuklo T., Potter B., Ludwig S. Treatment of lumbar spinal stenosis // Spine. — 2006. — V.31. — P.1047–1065.
Lindsey D., Swanson K., Fuchs P. The effects of an interspinous implant on the kinematics of the instrumented and adjacent levels in the lumbar spine // Spine. — 2003. — V.28. — P.2192–2197.
Mroz T.E., Suen P.W., Payman K. et al. Spinal stenosis: Pathophysiology, clinical diagnosis, differential diagnosis // Spine / Ed. by H.N. Herkowitz, S.R. Garfin, E.J. Eismont et al. —Philadelphia: W.B. Saunders Inc., 2006. — V.II. — P.995–1009.
Samani J. Study of a semi-rigid interspinous “U”-fixation system // Orthop. Surg. — 2000. — V.28. — P.348–353.
Schlegel J.D., Smith J.A., Schleusener R.L. Lumbar motion segment pathology adjacent to thoracolumbar, lumbar and lumbosacral fusions // Spine. — 1996. — V.21. — P.970–981.
Shenkin H.A., Nash C.J. Spondylolisthesis after multiple bilateral laminectomies and facetectomies for lumbar spondylosis: Follow-up review // J. Neurosurg. — 1979. — V.50. — P.45–47.
Shono Y., Kaneda K., Abumi K. et al. Stability of posterior spinal instrumentation and its effects on adjacent motion segments in the lumbosacral spine // Spine. — 1998. — V.23. — P.1550–1558.
Spivak J.M. Degenerative lumbar spinal stenosis: Current concepts review // J. Bone Joint Surg. Am. — 1980. — V.80. — P.1053–1066.
Tuite G.E., Stern J.D., Doran S.E. et al. Outcome after laminectomy for spinal stenosis. P.I. Clinical correlations // J. Neurosurg. — 1995. — V.82. — P.912–918.
Turner J.A., Ersek M., Herron L. et al. Surgery for lumbar spinal stenosis: Attempted meta-analysis of the literature // Spine. — 1992. — V.17. — P.1–8.
Verbiest H. A radicular syndrome from developmental narrowing of the lumbar vertebral canal // J. Bone Joint Surg. Am. — 1954. — V.36. — P.230–237.
Verbiest H. Results of surgical treatment of idiopathic developmental stenosis of the lumbar vertebral canal: A review of 27 years experience // J. Bone Joint Surg. Br. — 1977. — V.59. — P.181–188.
Verbiest H. Stenosis of the lumbar vertebral canal and sciatica // Neurosurg. Rev. — 1980. — V.3. — P.75–89.
Watanabe R., Park W.W. Vascular and neural pathology of lumbosacral spinal stenosis // J. Neurosurg. — 1986. — V.64. — P.64–70.
Zucherman J.F., Hsu K.Y.,HatjenC.A.et al. A prospective randomized multi-center study for the treatment of lumbar spinal stenosis with the X STOP interspinous implant:1-year results // Eur. Spine J. — 2004. — V.12. — P.22–31.
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