Lumbar spinal stenosis

被引：79

作者：

Chad, David A. ^{[1
]}

机构：

[1] Univ Massachusetts, Mem Hlth Ctr, Dept Neurol, Worcester, MA 01605 USA

来源：

NEUROLOGIC CLINICS | 2007年 / 25卷 / 02期

关键词：

D O I：

10.1016/j.ncl.2007.01.003

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Lumbar spinal stenosis may be congenital or acquired. A classic clinical presentation is described as neurogenic claudication. Physical signs of sensory loss, weakness, and attenuation of reflexes often are mild and limited in distribution. Neuroimaging of the lumbosacral spine with MRI and electrodiagnostic (electromyographic [EMG]) tests are the most informative diagnostic modalities. Conservative management often is successful, but surgical decompression may be indicated in refractory cases.

引用

页码：407 / +

页数：13

共 33 条

[1] Preoperative predictors for postoperative clinical outcome in lumbar spinal stenosis -: Systematic review [J].

Aalto, Timo J. ;

Malmivaara, Antti ;

Kovacs, Francisco ;

Herno, Arto ;

Alen, Markku ;

Salmi, Liisa ;

Kroger, Heikki ;

Andrade, Juan ;

Jimenez, Rosa ;

Tapaninaho, Antti ;

Turunen, Veli ;

Savolainen, Sakari ;

Airaksinen, Olavi .

SPINE, 2006, 31 (18) :E648-E663

[2] Differential diagnostics in patients with mild lumbar spinal stenosis: the contributions and limits of various tests [J].

Adamova, B ;

Vohanka, S ;

Dusek, L .

EUROPEAN SPINE JOURNAL, 2003, 12 (02) :190-196

[3]

Alvarez JA, 1998, AM FAM PHYSICIAN, V57, P1825

[4] Lumbar spinal stenosis:: Conservative or surgical management?: A prospective 10-year study [J].

Amundsen, T ;

Weber, H ;

Nordal, HJ ;

Magnaes, B ;

Abdelnoor, M ;

Lilleås, F .

SPINE, 2000, 25 (11) :1424-1435

[5]

Arbit E, 2001, CLIN ORTHOP RELAT R, P137

[6] Surgical and nonsurgical management of lumbar spinal stenosis - Four-year outcomes from the Maine lumbar spine study [J].

Atlas, SJ ;

Keller, RB ;

Robson, D ;

Deyo, RA ;

Singer, DE .

SPINE, 2000, 25 (05) :556-562

[7] Long-term outcomes of surgical and nonsurgical management of lumbar spinal stenosis: 8 to 10 year results from the Maine Lumbar Spine Study [J].

Atlas, SJ ;

Keller, RB ;

Wu, YA ;

Deyo, RA ;

Singer, DE .

SPINE, 2005, 30 (08) :936-943

[8]

Best Janie T, 2002, Orthop Nurs, V21, P48, DOI 10.1097/00006416-200205000-00008

[9] An assessment of surgery for spinal stenosis: Time trends, geographic variations, complications, and reoperations [J].

Ciol, MA ;

Deyo, RA ;

Howell, E ;

Kreif, S .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1996, 44 (03) :285-290

[10] Treatment of lumbar spinal stenosis with epidural steroid injections: A retrospective outcome study [J].

Delport, EG ;

Cucuzzella, AR ;

Marley, JK ;

Pruitt, CM ;

Fisher, JR .

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2004, 85 (03) :479-484

← 1 2 3 4 →