23 February 2023: Review Articles
Presentation, Diagnosis, and Management of Lower Back Pain Associated with Spinal Stenosis: A Narrative Review
Dawid Sobański 12ADEF* , Rafał Staszkiewicz 13ADEF , Magdalena Stachura 24EF , Marcin Gadzieliński 3EF , Beniamin Oskar Grabarek 13AEFDOI: 10.12659/MSM.939237
Med Sci Monit 2023; 29:e939237
Background
Causes of Pain Syndromes of the Lumbar Spine
General Characteristics of Degenerative Stenosis of the Lumbar Region of the Spine
Pathomechanism of Pain Syndromes of the Spine
Clinical Symptoms for Patients with Stenosis of the Lumbar Region of the Spine
Differentiation in Degenerative Stenosis of the Lumbar Spine
Radiological Diagnosis of Patients with Degenerative Lumbar Stenosis of the Spine
Pharmacotherapy, Rehabilitation, and Surgical Treatment of Patients with Degenerative Lumbar Spine Stenosis
Rehabilitation Treatment of Patients with Degenerative Lumbar Spine Stenosis
Future Directions
Conclusions
References
Table 5 Surgical procedures that allow patients to retain spinal motion on the operated levels or that result in stiffening and spondylodesis.
| Surgical procedures that allow patients to retain spinal motion on the operated levels | Surgical procedures that result in stiffening and spondylodesis |
|---|---|
| Laminectomy | From the posterior or posterolateral approach |
| Hemilaminectomy | Posterior lumbar interbody fusion – PLIF |
| Partial hemilaminectomy – fenestration | Transforaminal lumbar interbody fusion – TILF |
| Foraminotomy | Posterior transpedicular spondylodesis (classic and percutaneous) |
| Microdiscectomy | Spinal osteotomies |
| Implanting an interspinous distraction device | From the anterior approach |
| Implanting a disc prosthesis or a nucleus pulposus prosthesis | Anterior lumbar interbody fusion |
| Anterior spondylodesis with the use of pedicle screws | |
| Spinal osteotomies | |
| Lateral lumbar interbody fusion |