Surgical management of lumbar stenosis: decompression and indications for fusion

1997 ◽  
Vol 3 (2) ◽  
pp. E3 ◽  
Author(s):  
Nancy E. Epstein
Keyword(s):  
Spinal Stenosis ◽  
Surgical Management ◽  
Lumbar Spinal Stenosis ◽  
Older Patients ◽  
Clinical Evidence ◽  
Degenerative Spondylolisthesis ◽  
Lumbar Stenosis ◽  
Degenerative Scoliosis ◽  
Disc Herniations ◽  
Lumbar Spinal

Review of the clinical, neuroradiological, and surgical management of lumbar spinal stenosis reveals that 90 to 95% of congenital or acquired variants may be adequately managed by means of decompression without fusion. These decompressive procedures often simultaneously treat disc herniations, limbus fractures, degenerative spondylolisthesis, rare selected cases of spondylolisthesis accompanied by lysis in older patients, and degenerative scoliosis. Fusion should be reserved for the approximately 5 to 10% of patients in whom there is clinical evidence of instability prior to surgery or for the few who develop slippage following laminectomy and facetectomy.

scholarly journals Post-operative Morbidity and Mortality of Lumbar Spinal Stenosis at one Teaching Hospital in North-eastern Benin.

2020 ◽  
Vol 6 (1) ◽  
pp. 13-20
Author(s):  
Holden Olatoundji Fatigba ◽  
◽  
Luphin Hode ◽  
Kisito Quenum ◽  
Thierry Alihonou ◽  
...  
Keyword(s):  
Spinal Stenosis ◽  
Surgical Management ◽  
Lumbar Spinal Stenosis ◽  
Teaching Hospital ◽  
Cauda Equina ◽  
Canal Stenosis ◽  
Republic Of Benin ◽  
The Republic ◽  
Lumbar Spinal ◽  
Selection Of

Background and Aim: Surgical management of Lumbar Spinal Stenosis (LSS) is a common practice. This study aimed to report the morbidities and mortalities observed during surgical treatment of LSS and the outcome of these patients after management over an 8-year study period. Methods and Materials/Patients: It was a retrospective, descriptive, and transversal study performed at the Departmental Teaching Hospital of Borgou in the Republic of Benin (West Africa) from January 2010 to December 2018. This study included the patients who underwent surgical management for LSS. Type of complication, its management, and the patient’s outcomes was registered. Results: During the study period and based on the selection criteria, 239 patients were selected. These patients were divided into 135 men (56.5%) and 104 women (43.5%). The mean age of the patients was 52.3±10.9 years. Laminectomy was performed on one, two, and three lumbar spinal segments in 17.6%, 55.6% and 26.8% of cases, respectively. Laminectomy was associated with discectomy in 6.3% of the cases. No arthrodesis with spinal fixation was performed. Ninety percent of patients had no post-operative complications. Functional post-operative results were considered excellent, good, acceptable and poor in 32.1%, 52.1%, 10.9% and 4.9% of cases, respectively. Five types of complications were observed in 22 patients (9.2%). A reoperation was performed in 1.6% of cases. These different complications included dural tear (4.6%), wound infection (3.3%), stroke (0.8%), cauda equina syndrome (0.4%) and pseudomeningocele (0.4%). The mortality rate was 0.8% (n=2). Conclusion: Lumbar canal stenosis surgery is not without complications. Careful selection of patients, consideration of risk factors, and selection of an appropriate surgical strategy can reduce or avoid these complications.

Surgical Management of Lumbar Spinal Stenosis

2011 ◽  
pp. 1083-1100
Author(s):  
Brian W. Su ◽  
Jeffrey Rihn ◽  
Robert Byers ◽  
Todd J. Albert
Keyword(s):  
Spinal Stenosis ◽  
Surgical Management ◽  
Lumbar Spinal Stenosis ◽  
Lumbar Spinal

Epidural Glucocorticoid Injections for Spinal Stenosis

2018 ◽  
pp. 200-204
Keyword(s):  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Epidural Injection ◽  
Systemic Absorption ◽  
Lumbar Stenosis ◽  
Epidural Injections ◽  
Hypothalamic Pituitary Axis ◽  
Lumbar Spinal

This case focuses on using an epidural on spinal stenosis by asking the question: What is the effectiveness of epidural injections of glucocorticoids plus anesthetic compared with injections of anesthetic alone in patients with lumbar spinal stenosis? This study demonstrated that epidural injection containing glucocorticoids for the treatment of lumbar stenosis offered minimal or no benefit over epidural injection of lidocaine alone at 6 weeks. Systemic absorption of glucocorticoids and suppression of the hypothalamic-pituitary axis were demonstrated among patients who received epidural injections containing glucocorticoids.

Lumbar Spinal Stenosis and Degenerative Spondylolisthesis

2019 ◽  
Vol 32 (7) ◽  
pp. 272-278 ◽  
Author(s):  
Haariss Ilyas ◽  
Inyang Udo-Inyang ◽  
Jason Savage
Keyword(s):  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Degenerative Spondylolisthesis ◽  
Lumbar Spinal

Potential pathological mechanisms of L3 degenerative spondylolisthesis in lumbar spinal stenosis patients: A case–control study

2019 ◽  
Vol 24 (4) ◽  
pp. 596-600
Author(s):  
Masayoshi Fukushima ◽  
Yasushi Oshima ◽  
Hiroyuki Oka ◽  
Chang Chang ◽  
Yoshitaka Matsubayashi ◽  
...  
Keyword(s):  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Case Control Study ◽  
Degenerative Spondylolisthesis ◽  
Case Control ◽  
Lumbar Spinal ◽  
Control Study
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