EXPORT CITATION

Chapter-262 Surgery for Lumbar Canal Stenosis

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Kumar Naresh
2. Kumar Aravind
3. David Kenny S
ISBN
9789385891052
DOI
10.5005/jp/books/12869_263
Edition
3/e
Publishing Year
2016
Pages
8
Author Affiliations
1. Undergraduate Education, Yong Loo Lin School of Medicine; National University Hopsital, Singapore
2. Khoo Teck Puat Hospital, Singapore
3. Christian Medical College and Hospital, Vellore, Tamil Nadu, india
Chapter keywords
Lumbar canal stenosis, laminectomy, laminotomy, microdecompression, lumbar laminoplasty, interspinous distraction device

Abstract

This chapter discusses the surgery for lumbar canal stenosis. Lumbar spinal stenosis is a reduction in the dimensions of the central or lateral regions of the spinal canal. It occurs most frequently due to chronic degenerative changes. The development of symptoms in a patient is due to the pathophysiologic changes that occur concurrently with the anatomical changes of stenosis. Special attention must be paid to the standing posture of the patient, especially the sagittal alignment. Physical findings are uncommon in patients with spinal stenosis. The main focus of this chapter is on the anatomical considerations, pathophysiology, physical examination, investigation, treatment and nonoperative versus operative treatment. Nonoperative, operative, decompression, laminectomy, laminotomy, microdecompression, lumbar laminoplasty, interspinous distraction devices and decompression and fusion are the treatment options for lumbar canal stenosis. 10 well-colored figures are also provided in this chapter.

Related Books

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved