DEGENERATIVE STENOSIS OF THE LUMBAR SPINE.

Autor: Zylbersztejn S; Assistant Professor in the Discipline of Orthopedics and Traumatology, Federal University of Health Sciences, Porto Alegre (UFCSPA); MSc from FMUSP; Coordinator of the Orthopedic Spinal Surgery Service, Santa Casa de Porto Alegre Hospital Complex (CHSCPA), Porto Alegre, RS, Brazil., Spinelli Lde F; Attending Physician in the Orthopedics and Traumatology Service, CHSCPA; MSc and PhD from the Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil., Rodrigues NR; PhD in Orthopedics and Traumatology from FMUSP; Head of the Spine Sector, Santo Antônio Children's Hospital, CHSCPA, Porto Alegre, RS, Brazil., Werlang PM; Fellowship in Spinal Surgery at Leopoldina Hospital, Germany; Instructor in the Spine Group, CHSCPA, Porto Alegre, RS, Brazil., Kisaki Y; PhD in Spinal Surgery from the University of Sapporo, Hokkaido, Japan; Head of the Adult Spine Sector, Hospital Santa Clara, CHSCPA, Porto Alegre, RS, Brazil., Rios AR; Specialist Title in Spinal Tumors from University of Bologna - Italy (Institute Orthopedic Rizzoli), Head of the Orthopedic Spinal Tumor Sector, Hospital Santa Rita, CHSCPA, Porto Alegre, RS, Brazil., Bello CD; President of the Spine Committee, Orthopedics and Traumatology Society of Rio Grande do Sul (SOTRS); Member of the Orthopedic Spinal Group, CHSCPA, Porto Alegre, RS, Brazil.
Jazyk: angličtina
Zdroj: Revista brasileira de ortopedia [Rev Bras Ortop] 2015 Dec 06; Vol. 47 (3), pp. 286-91. Date of Electronic Publication: 2015 Dec 06 (Print Publication: 2012).
DOI: 10.1016/S2255-4971(15)30100-2
Abstrakt: 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.
Databáze: MEDLINE