medigraphic.com

2013, Number 4

AMC 2013; 17 (4)

Degenerative spinal lumbar stenosis

Hernández GEH, Puente ÁA, Mosquera BG

Language: Spanish
References: 32
Page:
PDF size: 278.59 Kb.


ABSTRACT

Background: the progressive increase of life expectancy came along with a greater incidence of degenerative diseases of the rachis like spinal stenosis.
Objective: to systematize and bring the knowledge about degenerative spinal stenosis of the spinal lumbar channel up to date.
Method: a review of the literature from the last five years was made, making emphasis in the classification, pathogeny, diagnosis, and treatment.
Development: degenerative spinal stenosis of the lumbar channel is a multifactorial disorder characterized by a narrowing of the vertebral channel, of the lateral recess, or of the secondary intervertebral foramina, conditions commonly observed in degenerative and progressive hypertrophy of any of the cartilaginous, ligamentous, or osseous structures that ends in a neurologic or vascular squeeze. Neurogenic claudication is one of the most characteristic symptoms. The diagnosis is based on measuring made through the images in the computerized axial tomography and in the nuclear magnetic resonance. The therapeutic options include the conservative treatment and the surgical treatment, with conventional decompressing techniques and the techniques of minimal invasion that are the most used nowadays.
Conclusions: degenerative spinal stenosis is a multifactorial disease. The diagnosis is based on the clinical suspicion confirmed through imagenology studies. Some factors related to the patient, to the characteristics of the stenosis, and to the availability of the technology should be taken into consideration for choosing the treatment. The objective of the surgery will be aimed at decompressing the neurovascular structures and keeping the stability of the rachis in order to reduce the postoperative morbidity.


REFERENCES

  1. Genevay S, Atlas JS. Lumbar Spinal Stenosis. Best Pract Res Clin Rheumatol. Lumbar Spinal Stenosis. [serie en internet] 2010 Apr [citado 15 sep 2012]; 24(2): [aprox. 12 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2841052/

  2. Valesin Filho ES, Hidetoshi Ueno L, Borges Cabral LT, Masayuki Yonezaki A, Junqueira Nicolau R, Reis Rodríguez LM. Estudo prospectivo de avaliação de dor e incapacidade de pacientes operados de estenose de canal lombar com seguimento mínimo de dois anos. Columna. 2009 Oct - Dec; 8(4): 390– 94.

  3. Reis Rodríguez LM, Hidetoshi Ueno F, Noburo Fujiki E. Prospective-comparative study between pseudarthrosis and bone fusion in lumbar stenosis. Acta ortop. bras. [serie en internet] 2011 Jun [citado 15 sep 2012]; 19(3): [aprox. 10 p.]. Disponible en: http://dx.doi.org/10.1590/S1413-78522011000300009

  4. Pak- Hin A, Cheun T, Sieh KM, Siu- Man S, Cheung KY, Fun KY. Rare ligamentum flavum cyst causing incapacitating lumbar spinal stenosis: Experience with 3 chinese patients. Journal of Orthopaedic Surgery and Research. [serie en internet] 2010 Nov 4 [citado 15 sep 2012]; 4(81): [aprox. 4 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3258017

  5. Freedman BA, Bui TL, Yoon ST. Diagnostic challenge: bilateral infected lumbar facet cyst – a rare cause of acute lumbar spinal stenosis and back pain. Journal of Orthopaedic Surgery and Research. [serie en internet] 2010 Mar [citado 6 sep 2012]; 5: [aprox. 5 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2845560

  6. Mobaleghi J, Allahdini F, Nasseri K, Ahsan B, Shami S, Faizi M, et al. Comparing the effects of epidural methylprednisolone acetate injected in patients with pain due to lumbar spinal stenosis or herniated disks: a prospective study. International Journal of General Medicine. [serie en internet] 2011 Dec [citado 15 sep 2012]; 4: [aprox. 4 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3258017

  7. Bath B, Pahwa P. A physiotherapy triage assessment service for people with low back disorders: evaluationof short-term outcomes. Patient Related Outcome Measures. [serie en internet] 2012 Jul [citado 15 sep 2012]; 3: [aprox. 10 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3417935

  8. Kaptan H, Yalcin ES, Kasimcan O. Correlation of low back pain caused by lumbar spinal stenosis and depression in women: a clinical study. Archives of Orthopaedic and Trauma Surgery. 2012 Jul; 132(7): 963– 67.

  9. Sharma H, Gupta R, Olivero W. fMRI in patients with lumbar disc disease: a paradigm to study patients over time. Journal of Pain Research. [serie en internet] 2011 Dec [citado 6 sep 2012]; 4: [aprox. 4 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3255994

  10. Shabat Sh, Miller LE, Block JE, Gepstein R. Minimally invasive treatment of lumbar spinalstenosis with a novel interspinous spacer. Clinical Interventions in Aging. [serie en internet] 2011 Sept [citado 6 sep 2012]; 6: [aprox. 6 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180519/

  11. Hernández Castellón R. Transición demográfica y envejecimiento de la población. En: Cuba. Población y Desarrollo. Colectivo de autores. Centro de Estudios Demográficos de la Ciudad de la Habana; 2009, p. 164– 75.

  12. Robaina Padrón FG. Controversias de la cirugía instrumentada y el tratamiento del dolor lumbar por enfermedad degenerativa, Resultados de la evidencia científica. Neurocirugía. 2007 Sept– Oct; 18(5):406– 13.

  13. Santos Coto C, Rivas Hernández R, Fleites Marrero E. Tratamiento quirúrgico de la estenosis del canal lumbar. Revista cubana de Ortopedia y Traumatología. 2008 Jul– Dic; 23(1): 25- 31.

  14. Steurer J, Roner S, Gnannt R, Hodler J. Quantitative radiologic criteria for the diagnosis of lumbar spinal stenosis: a systematic literature review. BMC Musculoskeletal Disorders. [serie en internet] 2011 Jul [citado 15 sep 2012]; 12(1): [aprox. 23 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3161920/

  15. Castro de Medeiros R, Machado Cardoso I, Boss Jaccard AP, Landim E, Pasqualini W, Guidolin Veiga I, et al. Avaliação intra-observador e inter-observadores do Sistema de Classificação de Landim para estenose vertebral lombar. Columna. [serie en internet] 2009 Jan- Mar [citado 6 sep 2012]; 8(1): [aprox. 12 p.]. Disponible en: http://dx.doi.org/10.1590/S1808-18512009000100012.

  16. Wu H, Yu WD, Jiang R, Gao ZL. Treatment of multilevel degenerative lumbar spinal stenosis with spondylolisthesis using a combination of microendoscopic discectomy and minimally invasive transforaminal lumbar interbody fusion. Exp Ther Med. [serie en internet] 2013 Feb [citado 15 sep 2012]; 5(2): [aprox. 5 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3570089/

  17. Manchikanti L, Cash KA, Mc Manus CD, Pamapati V. Assessment of Effectiveness of Percutaneous Adhesiolysis in Managing Chronic Low Back Pain Secondary to Lumbar Central Spinal Canal Stenosis. Int J Med Sci. [serie en internet] 2013 Dec [citado 15 sep 2012]; 10(1): [aprox. 9 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3534877/

  18. Matsudaira K, Seichi A, Kunogi J, Yamazaki T, Kobayashi A, Anamizu Y, et. al. The efficacy of prostaglandin E1 derivative in patients with lumbar spinal stenosis. Spine. 2009 Jan; 34(2): 115- 20.

  19. Varlotta GP, Lefkowitz TR, Scheitzer M, Errico TJ, Spivak J, Bendo JA, et al. The lumbar facet joint: a review of current knowledge: part 1: anatomy, biomechanics, and grading. Skeletal radiology. 2011 Jan; 40(1): 13- 23

  20. Weiner BK, Patel NM, Walker MA. Outcomes of decompression for lumbar spinal canal stenosis based upon preoperative radiographic severity. Journal of Orthopaedic Surgery and Research. [serie en internet] 2007 Mar [citado 15 sep 2012]; 2: [aprox. 7 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1828049/

  21. Zylbersztejn S, de Freitas L, Rodinei N, Mariotti P, Kisaki Y, Roberto A, et. al. Degenerative stenosis of the lumbar spine. Rev Bras Ortop. 2012 Nov; 47(3): 286– 91.

  22. Cheung W. Y. Neurological recovery after surgical decompression in patients with Spondilotic Myelopathy. A propective study. International Orthopaedics. [serie en internet] 2008 Apr [citado 15 sep 2012]; 32(2): [aprox. 6 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2269013/

  23. Doi T, Harimaya K, Matsumoto Y, Tono O, Tarukado K, Iwamoto Y. Endoscopoc decompression for intraforaminal and extraforaminal root compression.Journal of Orthopaedic Surgery and Research. [serie en internet] 2011 Mar [citado 15 sep 2012]; 6(16): [aprox. 7 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3073935/

  24. Wassenaar M, van Rijn RM, van Tulder M, Verhagen AP, van der Windt MW, Koes BW, et.al. Magnetic resonance imaging for diagnosing lumbar spinal pathology in adult patients with low back pain or sciatica: a diagnostic systematic review. Eur Spine J. [serie en internet] 2012 Feb [citado 6 sep 2012]; 21(2): [aprox. 7 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3265584/

  25. Yuzawa Y. The interspinous ligament should be removed for the decompression surgery with the case of lumbar spinal canal stenosis. Arch of Orthop Trauma Surg 2011 Jun; 131(6): 753– 58.

  26. Tomii M, Itoh Y, Numazawa Sh, Watanabe K, Nakagawa H. Spinous process plate (S-plate) fixation after posterior interbody fusion for lumbar canal stenosis due to spondylolisthesis. Neurosurg Rev. 2013 Jan; 36(1):139– 43.

  27. Jo DH, Yang HJ. The Survey of the Patient Received the Epiduroscopic Laser Neural Decompression. Korean J Pain. [serie en internet] 2013 Jan [citado 6 sep 2012]; 26(1): [aprox. 4 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3546206/

  28. Ploumis A, Christodoulou P, Kapoutsis D, Gelalis I, Vraggalas V, Beris A. Surgical treatment of lumbar spinal stenosis with microdecompression and interspinous distraction device insertion. A case series. Orthop Surg Res. [serie en internet] 2012 Oct [citado 6 sep 2012]; 7: [aprox. 11 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3552687/

  29. Peng Ch, Yeo W, Tan S. Percutaneous endoscopic lumbar discectomy: clinical and quality of life outcomes with a minimum 2 year follow-up. Journal of Orthopaedic Surgery and Research. [serie en internet] 2009 Jun [citado 15 sep 2012]; 4(20): [aprox. 8 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2712454/

  30. Kuittinen P, Aalto TJ, Heikkila T, Leinonen V, Savolainen S, Sipola P, et.al. Accuracy and reproducibility of a retrospective outcome assessment for lumbar spinal stenosis surgery. BMC Musculoskelet Disord. [serie en internet] 2012 may [citado 15 sep 2012]; 13(83): [aprox. 11 p.]. Disponible en: http://www.biomedcentral.com/1471-2474/13/83

  31. Raab P, Juerguen K, Gloger H, Soerensen N, Wild A. Spinal deformity after multilevel oteoplastic laminotomy. Internacional Orthopaedics. 2008 Jun; 32(3): 355- 59.

  32. Dang A, Garfin S. Can Statistics Alone Add Clinical Meaning to Non-Specific Billing Databases? Commentary on an article by Richard A. Deyo, MD, MPH, et al.: Revision Surgery Following Operations for Lumbar Stenosis. J Bone Joint Surg Am. 2011 Nov; 93(21): e1281- 2.




2020     |     www.medigraphic.com