[Lumbar lateral recess stenosis. Clinical symptoms, diagnostic modalities and surgical management]
| Autor: | B, Wörner, M, Lange, U, Fink, R, Oeckler |
|---|---|
| Jazyk: | němčina |
| Rok vydání: | 2005 |
| Předmět: |
Adult
Aged 80 and over Lumbar Vertebrae Time Factors Laminectomy Middle Aged Decompression Surgical Magnetic Resonance Imaging Diagnosis Differential Spinal Fusion Spinal Stenosis Treatment Outcome Patient Satisfaction Humans Female Child Tomography X-Ray Computed Intervertebral Disc Displacement Aged Follow-Up Studies |
| Zdroj: | Fortschritte der Medizin. Originalien. 119 |
| Popis: | In spite of its importance for lumbar radicular syndroms only a few reports about lumbar lateral recess stenosis exist in literature. Most important clinical symptom is radicular pain, which may be exercise-dependent. Confirmation of diagnosis and differentiation from disc herniation requires imaging like CT, MRI or post-myelo-CT. Surgical treatment options include selective decompression techniques like foraminotomy, medial facettectomy and undercutting as well as hemilaminectomy, laminotomy and wide laminectomy or fusion.We treated 35 patients with selective decompression techniques.In the follow-up 5 up to 18 months after surgery 25 patients for themselves described the results as good or excellent. Therefore, individually tailored selective microsurgical decompression is an appropriate and successful treatment strategy for lumbar lateral recess stenosis, if conservative treatment fails. |
| Databáze: | OpenAIRE |
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