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2018, Number 1

Ortho-tips 2018; 14 (1)

Differential diagnosis in lumbar spinal stenosis

Aceves PA
Full text How to cite this article

Language: Spanish
References: 8
Page: 17-21
PDF size: 171.06 Kb.


Key words:

Lumbar, stenosis, spine, diagnosis, pain.

ABSTRACT

Degenerative lumbar duct stenosis is the number one cause of pain, disability and loss of independence in adults, characterized by intermittent or continuous claudication of the lower limbs of the neurogenic type. Its physiopathology is given by the hypertrophy of the osseous elements, as well as of the soft parts adjacent to the lumbar spine. The initial diagnostic approach of the patient with low back pain should be oriented to look for risk factors that require immediate attention, establish differential diagnoses and identify compression patterns with neurological deficit. Once the patient has been evaluated, numerous differential diagnoses should be considered.


REFERENCES

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  2. Ammendolia C. Degenerative lumbar spinal stenosis and its imposters: three case studies. J Can Chiropr Assoc. 2014; 58 (3): 312-319.

  3. Herndon CM, Zoberi KS, Gardner BJ. Common questions about chronic low back pain. Am Fam Physician. 2015; 91 (10): 708-714.

  4. Casser HR, Seddigh S, Rauschmann M. Acute lumbar back pain. Dtsch Arztebl Int. 2016; 113 (13): 223-234.

  5. Petersen T, Laslett M, Juhl C. Clinical classification in low back pain: best-evidence diagnostic rules based on systematic reviews. BMC Musculoskelet Disord. 2017; 18 (1): 188.

  6. Joaquim AF. Initial approach to patients with acute lower back pain. Rev Assoc Med Bras (1992). 2016; 62 (2): 186-191.

  7. Suzuki H, Kanchiku T, Imajo Y, Yoshida Y, Nishida N, Taguchi T. Diagnosis and characters of non-specific low back pain in Japan: the Yamaguchi low back pain study. PLoS One. 2016; 11 (8): e0160454.

  8. Jung DY, Cho KT, Lee SC. Atypical guillain-barré syndrome misdiagnosed as lumbar spinal stenosis. J Korean Neurosurg Soc. 2013; 53 (4): 245-248.




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CÓMO CITAR (Vancouver)

Ortho-tips. 2018;14