Spinal Stenosis: Non-Operative Treatment, Rehab, Medication

2017 ◽  
Author(s):  
Gustavo Zanoli
Keyword(s):  
Spinal Stenosis ◽  
Operative Treatment

Relationship Between Rates and Outcomes of Operative Treatment for Lumbar Disc Herniation and Spinal Stenosis

1999 ◽  
Vol 81 (6) ◽  
pp. 752-62 ◽  
Author(s):  
ROBERT B. KELLER ◽  
STEVEN J. ATLAS ◽  
DAVID N. SOULE ◽  
DANIEL E. SINGER ◽  
RICHARD A. DEYO
Keyword(s):  
Spinal Stenosis ◽  
Operative Treatment ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc

Non-operative treatment of lumbar spinal stenosis

2016 ◽  
Vol 24 (4) ◽  
pp. 551-557 ◽  
Author(s):  
Frank Beyer ◽  
Fabian Geier ◽  
Jan Bredow ◽  
Johannes Oppermann ◽  
Andreas Schmidt ◽  
...  
Keyword(s):  
Spinal Stenosis ◽  
Operative Treatment ◽  
Lumbar Spinal Stenosis ◽  
Lumbar Spinal

Influence of spinopelvic parameters on non-operative treatment of lumbar spinal stenosis

2015 ◽  
Vol 23 (6) ◽  
pp. 871-879 ◽  
Author(s):  
F. Beyer ◽  
F. Geier ◽  
J. Bredow ◽  
J. Oppermann ◽  
P. Eysel ◽  
...  
Keyword(s):  
Spinal Stenosis ◽  
Operative Treatment ◽  
Lumbar Spinal Stenosis ◽  
Spinopelvic Parameters ◽  
Lumbar Spinal

scholarly journals Operative Treatment of Degenerative Lumbar Spine Spondylolisthesis/ Оперативен Третман На Лумбосакрална Дегенреативна Спондилолистеза

PRILOZI ◽  
2015 ◽  
Vol 36 (1) ◽  
pp. 129-135
Author(s):  
Igor Kaftandziev ◽  
Simon Trpeski ◽  
Venko Filipce ◽  
Oliver Arsovski ◽  
Ilir Hasani ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Functional Outcome ◽  
Spinal Stenosis ◽  
Operative Treatment ◽  
Degenerative Spondylolisthesis ◽  
Clinical Results ◽  
Grade Ii ◽  
Functional Outcome Measures ◽  
Lumbosacral Spondylolisthesis

Abstract Introduction: Management of degenerative lumbosacral spondylolisthesis with spinal stenosis is still controversial. Surgery is widely used, as well as non-surgical treatment. Aim: To evaluate the clinical results and functional outcome after operative treatment in Grade II and III lumbar spine spondylolisthesis. Material and methods: Twelve patients with symptoms and image-confirmed degenerative spondylolisthesis entered the study. Mean patient age was 57 years. Spondylolisthesis Grade II or III, segment L4-L5 or L5-S1 were evaluated. All patients underwent similar protocols. Operative treatment was decompressive laminectomy, posterior one segment fixation, and fusion with autologous bone grafting. Functional outcome measures were Visual Analog Scale (VAS, 10-point scale) and Oswestry Disability Index (ODI, 100-percent scale) after 6 and 12 months. Results: Patient follow-up was 12 months. Preoperatively, 7 patients had severe disability according to ODI, 4 had moderate disability. VAS measured 6 and 7 points in 6 patients, lowest score of 4 points and the highest score of 9. After 6 months, ODI showed 5 patients had minimal and 7 had moderate disability; 2 patients had 0 points on the VAS, 2 had a score of 1, 4 had a score of 2, highest score of 4 points. Treatment outcome effects after 1 year were 9 patients with minimal disability, 3 with moderate; VAS - 2 patients with O points, 3 with 1 point, 4 with 2 points. Conclusion: Patients with degenerative spondylolisthesis and spinal stenosis treated surgically showed substantially greater improvement in pain and functional outcome during a period of 1 year.

scholarly journals Stuburo juosmeninės dalies kanalo stenozė: gydymas (II dalis)

2004 ◽  
Vol 2 (1) ◽  
pp. 0-0
Author(s):  
Valentinas Uvarovas ◽  
Giedrius Kvederas ◽  
Igoris Šatkauskas
Keyword(s):  
Quality Of Life ◽  
Spinal Stenosis ◽  
Operative Treatment ◽  
Lumbar Spinal Stenosis ◽  
Nonoperative Treatment ◽  
Neurological Deficits ◽  
Magnetic Resonance Imaging Scan ◽  
Long Term Outcome ◽  
Lumbar Spinal

Valentinas Uvarovas, Giedrius Kvederas, Igoris ŠatkauskasVilniaus universiteto Ortopedijos, traumatologijos ir plastinės chirurgijos klinikaVilniaus greitosios pagalbos universitetinė ligoninė,Šiltnamių g. 29, LT-2043 VilniusEl paštas: [email protected] Nors daugelis literatūros šaltinių pateikia gana prastus vėlyvuosius neoperacinio gydymo rezultatus, tačiau visi autoriai sutinka, jog beveik visada stuburo kanalo stenozę reikia pradėti gydyti konservatyviai. Nėra vienodų konservatyvaus gydymo schemų, tačiau geriausių rezultatų pasiekiama naudojant agresyvią gydymo taktiką. Studijose, apžvelgiančiose vėlyvuosius 1–5 metų konservatyvaus gydymo rezultatus, teigiama, kad gerų rezultatų pasiekiama nuo 15 iki 43% ligonių. Chirurginis gydymas siūlomas, jei konservatyvus buvo neveiksmingas. Literatūros duomenimis, geri ir puikūs rezultatai būdingi nuo 26% iki 100% operuotų ligonių. Chirurginė intervencija yra grindžiama blogėjančia gyvenimo kokybe, neurologinių simptomų progresavimu, o neurologinė simptomatika ir CT bei BMR duomenys yra tik papildomi argumentai. Vis dėlto neurologinius pažeidimus ne visada pavyksta panaikinti operaciniu būdu. Prasminiai žodžiai: stuburo kanalo stenozė, nervų šaknelės, neoperacinis gydymas, operacinis gydymas. Lumbar spinal stenosis: treatment Valentinas Uvarovas, Giedrius Kvederas, Igoris Šatkauskas The initial treatment for spinal stenosis should be conservative. An aggressive nonoperative treatment consisting of therapeutic exercise, analgesics, and epidural steroid injections is proposed. The natural long-term outcome of conservative treatment, however, is often unsatisfactory. Several studies on nonoperactive treatment of patients with 1 to 5 years of follow-up suggest that 15% to 43% of patients will have continued improvement after nonoperative treatment. Surgery is required after the failure of conservative care. The literature presents good and excellent results in 26% to 100% of patients after the surgical treatment of spinal stenosis. The decision to operate on a patient who has this condition should be based on a decrease in the patient's quality of life and an increase in the symptoms rather than on relatively subtle neurological findings and a positive magnetic resonance imaging scan. Additionally, it is reasonable to recommend operative treatment in an effort to decrease the neurological signs and to improve the quality of life. Operative intervention, however, cannot routinely be expected to reverse neurological deficits in every patient. Keywords: lumbar spinal stenosis, spinal nerve root, nonoperative treatment, operative treatment

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