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Academia Mexicana de Neurología, A.C.

2017, Number 4

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Rev Mex Neuroci 2017; 18 (4)

Integral conservative treatment for the management of lumbar stenosis due to herniated disc: case series

Rodríguez-Cisneros DG, Urias-Valdez DP, Rendón-Félix J, Ovando-Sanders E, De León-Carrillo EL

Language: Spanish
References: 11
Page: 24-29
PDF size: 164.12 Kb.


ABSTRACT

Introduction: Acquired lumbar stenosis has its main origin due to disc herniation. Although there is a relationship between the degree of stenosis and the symptomatology due to radiculopathy, the latter may not present itself. There are new (and strong) tendencies to the conservative integral treatment of disc hernia, reason why it is tried to see its effect in patients with narrow lumbar canal by intervertebral disc herniation.
Objective: To describe the clinical outcome of patients with spinal stenosis due to a herniated intervertebral disc treated conservatively.
Results: In all, 51 patients with lumbar stenosis secondary to herniated disc (with an average stenosis of 57.2% ± 12.6%) were treated in a conservative combined manner, presenting an EVA of pain at admission of 7.8 ± 1.8, and significantly decreasing at discharge (2.0 ± 1.7).
Conclusion: Regardless of the degree of stenosis and lumbar pain, a good response was obtained by combined conservative treatment, and is therefore recommended for use in patients with lumbar stenosis due to intervertebral disc herniation.


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