FEATURES OF THE COURSE OF LUMBAR SPINAL STENOSIS
;
lumbar spinal stenosis, lumbosacral instability, stenosis surgical treatment with the imposition of the stabilizing systems.Abstrak
Lumbar spinal stenosis (LSS) is the narrowing of the central spinal canal (central stenosis) or of the concave and intervertebral lateral foramens. LSS is one of the most common causes of back pain in the elderly. Clinical signs of the disease are localized lumbar muscle pain and naughty - radical symptoms that occur when walking. A diagnosis of LSS is most likely to reveal paralysis during walking and stopping, regression during advance or sitting in elderly patients. Treatment strategies are determined by clinical conditions, not by changes identified in imaging studies. The most important diagnostic criterion is walking distance. Treatment strategies for patients with LSS are not fully established, as there is insufficient evidence that different treatment options work.
Iqtiboslar
Parfenov VA, Isaykin AI Pain in the lower back: myths and reality. M.: IMA-PRESS; 2016 (in Russ.)].
Issack PS, Cunningham ME, Pumberger M. Degenerative lumbar spinal stenosis: evaluation and management. J Am Acad Orthop Surg. 2012 Aug;20(8):527–535. DOI: 10.5435/JAAOS-20-08-527.
Ishimoto Y., Yoshimura N., Muraki S. Osteoarthritis Cartilage. Prevalence of symptomatic lumbar spinal stenosis and its association with physical performance in a population-based cohort in Japan: the Wakayama Spine Study. 2012 Oct;20(10):1103–1108.
Stephen J. Textbook of spinal disorders. Philadelphia; 1995.
Battié MC, Ortega-Alonso A., Niemelainen R. et al. Lumbar spinal stenosis is a highly genetic condition partly mediated by disc degeneration. Arthritis Rheumatol. 2014;66(12):3505–3510. DOI: 10.1002/art.38823.
Smirnov A. Yu. Clinic, diagnosis and surgical treatment of lumbar stenosis. Neurosurgery. 1999;2:59–64.
Smirnov A. Yu., Evzikov G. Yu. Surgical treatment of lumbar stenosis. Neurosurgery. 1998;1:34–38.
Covaro A., Vilà-Canet G., de Frutos AG Management of degenerative lumbar spinal stenosis: an evidence-based review. EFORT Open Rev. 2017;1(7):267–274. DOI: 10.1302/2058-5241.1.000030.
Steurer J., Roner S., Gnannt R., Hodler J. LumbSten Research Collaboration. Quantitative radiologic criteria for the diagnosis of lumbar spinal stenosis: a systematic literature review. BMC Musculoskeletal Disord. 2011;12:175. DOI: 10.1186/1471-2474-12-175.
Kobayashi S. Pathophysiology, diagnosis and treatment of intermittent claudication in patients with lumbar canal stenosis. World J Orthop. 2014;5(2):134–145.
Takahashi N., Kikuchi S., Yabuki S. et al.. Diagnostic value of the lumbar extension-loading test in patients with lumbar spinal stenosis: a cross-sectional study. BMC Musculoskeletal Disord. 2014;15:259. DOI: 10.1186/1471-2474-15-259.
Tomkins-Lane C., Melloh M., Lurie J. et al. ISSLS prize winner: consensus on the clinical diagnosis of lumbar spinal stenosis: results of an international Delphi study. Spine (Phila Pa 1976). 2016;41(15):1239–1246.
Kreiner DS, Shaffer WO, Baisden JL An evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis (update). Spine J 2013;13(7):734–743. DOI: 10.1016/j.spinee.2012.11.059.
Budithi S., Dhawan R., Cattell A. Only walking matters-assessment following lumbar stenosis decompression. Eur Spine J. 2017;26(2):481–487.
Messiah S, Tharian AR, Candido KD, Knezevic NN Neurogenic Claudication: a Review of Current Understanding and Treatment Options. Curr Pain Headache Rep. 2019;23(5):32. DOI: 10.1007/s11916-019-0769-x.
Qaseem A, Wilt TJ, McLean RM, Forciea MA Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians Ann Intern Med. 2017;166(7):514–530. DOI: 10.7326/M16-2367.
Lee PB, Kim YC, Lim YJ et al. Efficacy of pulsed electromagnetic therapy for chronic lower back pain: a randomized, double-blind, placebo-controlled study. J Int Med Res. 2006;34(2):160–167.
Arneja AS, Kotowich A., Staley D. et al. Electromagnetic fields in the treatment of chronic lower back pain in patients with degenerative disc disease. Future Sci O.A. 2016;2(1): FSO105. DOI: 10.4155/fsoa-2015-0019.
Gale GD, Rothbart PJ, Li Y. Infrared therapy for chronic low back pain: a randomized, controlled trial. 2006;11(3):193–196.
Shostak NA, Klimenko AA, Andriyashkina D. Yu. Possibilities of local therapy for back pain. Clinician. 2017;2(11):74–79 (in Russ.)].
Ammendolia C., Stuber KJ, Rok E. Nonoperative treatment for lumbar spinal stenosis with neurogenic claudication. Cochrane Database Syst Rev. 2013;8: CD010712. DOI: 10.1002/14651858.CD010712.
Enke O., New HA, New CH et al. Anticonvulsants in the treatment of low back pain and lumbar radicular pain—a systematic review and meta-analysis. CMAJ. 2018;190(26): E786–E793. DOI: 10.1503/cmaj.171333.
Manchikanti L., Knezevic NN, Boswell MV et al. Epidural Injections for Lumbar Radiculopathy and Spinal Stenosis: A Comparative Systematic Review and Meta-Analysis. Pain Physician. 2016;19(3): E365–410.
Meng H., Fei Q., Wang B. et al. Epidural injections with or without steroids in managing chronic low back pain secondary to lumbar spinal stenosis: a meta-analysis of 13 randomized controlled trials. Drug Des Devel Ther. 2015;9:4657–4667. DOI: 10.2147/DDDT.S85524.
John NB, Hodgden J. Epidural Injections for Long Term Pain Relief in Lumbar Spinal Stenosis. J Okla State Med Assoc. 2019;112(6):158–159.
Low Back Pain and Sciatica in Over 16s: Assessment and Management. London: National Institute for Health and Care Excellence (UK); 2016. National Institute for Health and Care Excellence: Clinical Guidelines.
Trigg SD, Devilbiss Z. Spine Conditions: Lumbar Spinal Stenosis. FP Essent. 2017;461:21–25.
Inoue G., Miyagi M., Takaso M. Surgical and nonsurgical treatments for lumbar spinal stenosis. Eur J Orthop Surg Traumatol. 2016;26(7):695–704. DOI: 10.1007/s00590-016-1818-3. Epub 2016 Jul 25.