The nerve root sedimentation sign in diagnosis of lumbar spinal stenosis.
Conclusion The nerve root sedimentation is a useful tool for identification of patients with both severe clinical and morphological lumbar spinal stenosis; however, its performance in the diagnosis of patients with moderate morphological spinal stenosis is poor. PMID: 30282482 [PubMed - as supplied by publisher]
Thomas et al. (October issue) found equivalent outcomes for patients treated with decompression plus fusion versus decompression alone for claudication secondary to lumbar spinal stenosis . This is a national spine registry study where they excluded patients with deformity or spondylolisthesis, which had been a major contention with previous similar studies [1-5].
Conclusions: Cauda equina conduction time differed according to the type of lumbar spinal stenosis. The prolongation of CECT may be caused by the demyelination of the CE. Cauda equina conduction time may be a useful measure for evaluating the dysfunction of the CE rather than radiculopathy for patients with lumbar spinal stenosis.
Hello all: I have a few patients like this. Severe lumbar spinal stenosis. No claudication at all. Failed RF. Would you send someone like this for a decompression if they have failed an ESI? Say the axial pain is definitely worse with walking versus if it is not, does that make a difference to you on this issue? Any surgical literature out there regarding decompression outcomes in this patient population? Thanks in advance.
Conclusion: There is scant literature on the topic of LSS presenting with unanticipated penile erections, urinary urgency, and neurogenic claudication. PMID: 31768289 [PubMed]
This article reviews the use of weight-bearing MRI for lumbar spinal stenosis and spondylolisthesis. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text
This study aimed to investigate the gender difference in pre- and postoperative health-related quality of life (HRQOL) in patients who have had decompression surgery for lumbar spinal stenosis (LSS). Overview of Literature: Gender differences may contribute to variations in disease presentations and health outcomes. The influence of gender on pre- and postoperative HRQOL in spinal disorders remains unclear. Methods: We reviewed 125 patients (79 men and 46 women) who had lumbar spinous process splitting laminectomy (LSPSL) for LSS. We assessed the following clinical information: Japanese Orthopedic Association (JOA)...
CONCLUSIONS: The results of this 11-year follow-up study demonstrate that, in patients with spinal stenosis and degenerative spondylolisthesis, decompression and posterior arthroplasty maintain clinical improvement and radiological stability. PMID: 31585417 [PubMed - as supplied by publisher]
Rationale: Cauda equina syndrome (CES) refers to a group of symptoms that occur when the nerves in the cauda equina become compressed or damaged. The most common etiology of CES is lumbar intervertebral disc herniation, but CES following lumbar spinal surgery is rare, especially without motor dysfunction. Herein, we illustrate a case of CES that developed as a complication of spinal surgery and to deduce its possible underlying cause. Patient concerns: A 46-year-old man experienced lumbago, bilateral shank pain, and numbness with neurogenic claudication for 3 years due to degenerative lumbar disc herniation and spinal...
Lumbar spinal stenosis (LSS) leads to diminished blood flow to the spinal nerves causing neurogenic claudication and impaired walking ability. Animal studies have demonstrated increased blood flow to the spina...
This study focused on patients with neurogenic claudication secondary to lumbar stenosis without spondylolisthesis or deformity.