Degenerative disorders of the thoracic and lumbar spine. Treatment options include both surgical and non-surgical methods. Minimally invasive lumbar decompression (adult). Symptoms can be very similar to sciatica or spinal stenosis: lower back pain, leg pain or even leg weakness. Intraarticular and soft tissue injections: What agent(s) to inject and how frequently?. In: Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. Lumbar spinal stenosis: Treatment and prognosis. With this type, there is a narrowing of the central canal of the lumbar spine that houses the spinal cord. Central stenosis is the main culprit in neurogenic claudication. American Academy of Orthopaedic Surgeons. In the majority of cases, lumber spinal stenosis (LSS) is the cause of pinched nerve. Lumbar spinal stenosis: Pathophysiology, clinical features and diagnosis. Mechanical and other lesions of the spine, nerve roots and spinal cord. Spinal stenosis is a condition in which spaces in the spine narrow, compressing the spinal cord. National Institute of Arthritis and Musculoskeletal and Skin Diseases. Younger people may be at higher risk of spinal stenosis if they have scoliosis or other spinal problems. Most people with spinal stenosis are over age 50. Swelling of nearby tissue right after back surgery also can put pressure on the spinal cord or nerves. Car accidents and other trauma can cause spinal bones to break or move out of place. Rarely, tumors can form inside the spinal canal. Thick ligaments can push into the spinal canal. The strong cords that help hold the bones of your spine together can become stiff and thick over time. If part of the disk's soft inner material leaks out, it can press on the spinal cord or nerves. Spondylosis, or degenerative arthritis affecting the spine, is the most common cause of LSS and typically affects individuals over the age of 60 years 1. Disks are the soft cushions that act as shock absorbers between your spinal bones. Lumbar spinal stenosis (LSS) refers to an anatomic condition that includes narrowing of the intraspinal (central) canal, lateral recess, and/or neural foramen. Paget's disease also can cause extra bone to grow on the spine. Wear-and-tear damage from arthritis can cause extra bone to grow on the spine. But most spinal stenosis occurs when something happens to reduce the amount of open space within the spine. Some people are born with a small spinal canal. They protect the spinal cord, which runs through an opening called the spinal canal. Spinal bones are stacked in a column from the skull to the tailbone. These problems can shrink the amount of space available for your spinal cord and the nerves that branch off it. The procedure is performed using minimally invasive techniques resulting in smaller incisions, lower risk of infection and, for many people, a quicker recovery.As your spine ages, you're more likely to have bone spurs or herniated disks. Some patients are able to have a same-day laminectomy, which means they do not need to stay in the hospital following surgery and are able to go home to recover. These overgrowths sometimes are referred to as bone spurs, but they're a normal side effect of the aging process in some people. This pressure most commonly caused is by bony overgrowths within the spinal canal, which can occur if you have arthritis in your spine. Also known as decompression surgery, laminectomy enlarges your spinal canal to relieve pressure on the spinal cord or nerves. This narrowing of the space around the spinal cord puts pressure on the nerves. In severe cases of spinal stenosis, doctors may recommend a laminectomy, which is surgery that creates space by removing the lamina - the back part of a vertebra that covers your spinal canal. Spinal stenosis is one of the most common causes of spinal pain not related to injury. In severe cases of spinal stenosis, surgery may be recommended to create additional space for the spinal cord or nerves. Spinal stenosis is most commonly caused by wear-and-tear changes in the spine related to osteoarthritis. Others may experience pain, tingling, numbness and muscle weakness. Some people with spinal stenosis may not have symptoms. Spinal stenosis occurs most often in the lower back and neck. Spinal stenosis is a narrowing of the spaces within your spine, which can put pressure on the nerves that travel through the spine.
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