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Lumbar Spinal Stenosis: Pathophysiology and Treatment Principle: A Narrative Review

Asian Spine Journal 2020년 14권 5호 p.682 ~ 693
이병호, 문성환, 석경수, 김학선, 양재호, 이환모,
소속 상세정보
이병호 ( Lee Byung-Ho ) - Yonsei University College of Medicine Department of Orthopedic Surgery
문성환 ( Moon Seong-Hwan ) - Yonsei University College of Medicine Department of Orthopedic Surgery
석경수 ( Suk Kyung-Soo ) - Yonsei University College of Medicine Department of Orthopedic Surgery
김학선 ( Kim Hak-Sun ) - Yonsei University College of Medicine Department of Orthopedic Surgery
양재호 ( Yang Jae-Ho ) - Yonsei University College of Medicine Department of Orthopedic Surgery
이환모 ( Lee Hwan-Mo ) - Yonsei University College of Medicine Department of Orthopedic Surgery

Abstract


Patients with lumbar spinal stenosis may exhibit symptoms such as back pain, radiating pain, and neurogenic claudication. Although long-term outcome of treatments manifests similar results for both nonsurgical and surgical treatments, positive effects such as short-term improvement in symptoms and decreased fall risk may be expected with surgery. Surgical treatment is basically decompression, and a combination of treatments can be added depending on the degree of decompression and the accompanying instability. Recently, minimally invasive surgery has been found to result in excellent outcomes in the treatment of lumbar spinal stenosis. Therefore, better treatment effects can be anticipated with an approach aimed at understanding the overall pathophysiology and treatment methods of lumbar spinal stenosis.

키워드

Spinal stenosis; Pathophysiology; Diagnosis; Treatment; Surgery

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