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. 2015 Dec 6;47(3):286-91.
doi: 10.1016/S2255-4971(15)30100-2. eCollection 2012 May-Jun.

DEGENERATIVE STENOSIS OF THE LUMBAR SPINE

Sérgio Zylbersztejn  1 , Leandro de Freitas Spinelli  2 , Nilson Rodinei Rodrigues  3 , Pablo Mariotti Werlang  4 , Yorito Kisaki  5 , Aldemar Roberto Mieres Rios  6 , Cesar Dall Bello  7
Affiliations

DEGENERATIVE STENOSIS OF THE LUMBAR SPINE

Sérgio Zylbersztejn et al. Rev Bras Ortop. .

Abstract

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. However, there seems to be some benefit from surgical treatment rather than conservative treatment, such that surgery brings improvements in symptoms and functions for a period of up to two years.

Keywords: Spinal Stenosis; Spine/pathology; Spine/radiography.

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Figures

Figure 1
Figure 1
Radiograph on an 82-year-old patient presenting lumbar sciatic pain and progressive claudication. (A) Anteroposterior; (B) lateral; (C) focused lateral.
Figure 2
Figure 2
Magnetic resonance imaging showing lumbar stenosis: (A) sagittal slice presenting diseased disc and thickening of the yellow ligament; and (B) axial slice illustrating thickening of the yellow ligament and medullary distress.
See this image and copyright information in PMC

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