Diagnostics and conservative treatment of cervical and lumbar spinal stenosis

被引：8

作者：

Hug, A. ^{[1
]}

Haehnel, S. ^{[2
]}

Weidner, N. ^{[1
]}

机构：

[1] Univ Klinikum Heidelberg, Klin Paraplegiol, Schlierbacher Landstr 200a, D-69118 Heidelberg, Germany

[2] Univ Klinikum Heidelberg, Abt Neuroradiol, Heidelberg, Germany

来源：

NERVENARZT | 2018年 / 89卷 / 06期

关键词：

Cervical spondylotic myelopathy; Cauda equina lesion; Degenerative spondylosis; Radiology; Functional diagnostics; SOMATOSENSORY-EVOKED-POTENTIALS; TRANSCRANIAL MAGNETIC STIMULATION; ORTHOPEDIC ASSOCIATION SCALE; CENTRAL MOTOR CONDUCTION; SPONDYLOTIC MYELOPATHY; ASYMPTOMATIC SUBJECTS; PHYSICAL-THERAPY; RESONANCE SCANS; CORD-INJURY; MANAGEMENT;

D O I：

10.1007/s00115-018-0516-2

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Degenerative stenotic spondylosis is not an uncommon cause of cervical spondylotic myelopathy (CSM) and cauda equina lesions in the aged population. Limited standardization exists with respect to diagnostic and therapeutic procedures. Literature review with respect to diagnostic and therapeutic procedures for neurologically relevant cervical and lumbar spinals stenosis. Comprehensive literature review. Clinical neurological examination and diagnostic imaging are fundamental for the diagnosis of neurologically relevant cervical and lumbar spinal stenosis. Additional laboratory blood and cerebrospinal fluid testing might be required for a differential diagnosis. Neurophysiological testing is reserved for specific clinical problems. The clinical evidence for the efficacy of conservative therapeutic strategies is limited.

引用

页码：620 / 631

页数：12

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