Lumbar Spinal Stenosis: Therapeutic Options Review

被引：44

作者：

Costandi, Shrif ^{[1
]}

Chopko, Bohdan ^{[2
]}

Mekhail, Mena ^{[3
]}

Dews, Teresa ^{[1
]}

Mekhail, Nagy ^{[1
]}

机构：

[1] Cleveland Clin, Dept Pain Management, Cleveland, OH 44195 USA

[2] Stanford Univ, Dept Neurosurg, Henderson, NV USA

[3] LECOM, Bradenton, FL USA

来源：

PAIN PRACTICE | 2015年 / 15卷 / 01期

关键词：

minimally invasive lumbar decompression; lumbar spinal stenosis; ligamentum flavum; low back pain; treatment; review; MICROENDOSCOPIC POSTERIOR DECOMPRESSION; EPIDURAL STEROID INJECTIONS; UNILATERAL LAMINOTOMY; SURGICAL-TREATMENT; INVASIVE DECOMPRESSION; CALCITONIN TREATMENT; LIGAMENTUM-FLAVUM; PHYSICAL-THERAPY; DURAL TEARS; SURGERY;

D O I：

10.1111/papr.12188

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Lumbar spinal stenosis (LSS) functionally impacts significant numbers of Americans per year. Current estimates place the number of Americans suffering from senescent lumbar spinal stenosis at 400,000. The prevalence of this disorder in patients ranging from 60 to 69years of age is very high. Forty-seven percent of this age group have mild to moderate stenosis, and 19.7% have severe stenosis. As the baby boomer generation gets older, 10,000 individuals attain the age of 65years every day in United States. LSS is becoming very common and will be a major healthcare issue as the population ages. Although LSS is not life threatening, it can cause substantial disability with limitations to performing daily activities, and thus, the associated negative impact on quality of life (QOL). This article reviews the pathophysiology and current treatment options for LSS, focusing on evidence-based treatment options.

引用

页码：68 / 81

页数：14

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