| Title |
Stuburo juosmeninės dalies kanalo stenozė: gydymas (II dalis) / |
| Translation of Title |
Lumbar spinal stenosis: treatment. |
| Authors |
Uvarovas, Valentinas ; Kvederas, Giedrius ; Šatkauskas, Igoris |
| DOI |
10.15388/LietChirur.2004.1.2382 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2004, t. 2, Nr. 1, p. 45-52.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
lumbar spinal stenosis ; spinal nerve root ; nonoperative treatment ; operative treatment |
| Abstract [eng] |
The initial treatment for spinal stenosis should be conservative. An aggressive nonoperative treatment consisting of therapeutic exercise, analgesics, and epidural steroid injections is proposed. The natural long-term outcome of conservative treatment, however, is often unsatisfactory. Several studies on nonoperactive treatment of patients with 1 to 5 years of follow-up suggest that 15% to 43% of patients will have continued improvement after nonoperative treatment. Surgery is required after the failure of conservative care. The literature presents good and excellent results in 26% to 100% of patients after the surgical treatment of spinal stenosis. The decision to operate on a patient who has this condition should be based on a decrease in the patient’s quality of life and an increase in the symptoms rather than on relatively subtle neurological findings and a positive magnetic resonance imaging scan. Additionally, it is reasonable to recommend operative treatment in an effort to decrease the neurological signs and to improve the quality of life. Operative intervention, however, cannot routinely be expected to reverse neurological deficits in every patient. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2004 |
| CC license |
|
