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Case Reports
. 2014 May 3;49(4):405-8.
doi: 10.1016/j.rboe.2014.04.014. eCollection 2014 Jul-Aug.

Lumbar stenosis: clinical case

Pedro Sá  1 , Pedro Marques  1 , Bruno Alpoim  1 , Elisa Rodrigues  1 , António Félix  1 , Luís Silva  1 , Miguel Leal  1
Affiliations
Case Reports

Lumbar stenosis: clinical case

Pedro Sá et al. Rev Bras Ortop. .

Abstract
in English, Portuguese

Lumbar stenosis is an increasingly common pathological condition that is becoming more frequent with increasing mean life expectancy, with high costs for society. It has many causes, among which degenerative, neoplastic and traumatic causes stand out. Most of the patients respond well to conservative therapy. Surgical treatment is reserved for patients who present symptoms after implementation of conservative measures. Here, a case of severe stenosis of the lumbar spine at several levels, in a female patient with pathological and surgical antecedents in the lumbar spine, is presented. The patient underwent two different decompression techniques within the same operation.

A estenose lombar é uma patologia cada vez mais frequente, que acompanha o aumento da esperança média de vida e que comporta custos elevados para a nossa sociedade. Apresenta inúmeras causas, entre as quais destacam-se a degenerativa, a neoplásica e a traumática. A maioria dos pacientes responde bem à terapêutica conservadora. O tratamento cirúrgico está reservado para aqueles doentes que apresentem sintomatologia após a implementação de medidas conservadoras. É apresentado um caso de estenose grave da coluna lombar em vários níveis, numa doente do sexo feminino com antecedentes patológicos/cirúrgicos da coluna lombar, na qual foram aplicadas duas técnicas distintas de descompressão, no mesmo ato cirúrgico.

Keywords: Laminectomy; Spinal stenosis; Spine.

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Figures

Fig. 1
Fig. 1
MRI of the lumbar spine (sagittal slice), in which lumbar stenosis can be seen at L2–S1.
Fig. 2
Fig. 2
MRI of lumbar spine (axial slice), in which narrowing of the spinal canal can be seen at the levels (A) L4–L5 and (B) L5–S1.
Fig. 3
Fig. 3
X-ray of the lumbar spine after surgery with arthrodesis at L4–S1.
See this image and copyright information in PMC

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