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Lumbal Spinal Stenoz

Lumbar spinal stenosis

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Abstract (2. Language): 
The concept of stenosis of the lumbar spinal canal as a cause of lumbar dysfunction was firmly established by Verbiest His reports have been supplemented by a number of others, which have defined the scope and import of this problem. The basic pathology in stenosis is reduction in the dimension of the container so that the contents are under compression. Although systemic skeletal disorders such as achondroplasia and paget's disease are often associated with stenosis, most clinical problems result acquired changes included by degenerative disease and its consequences. The implication is that persons with smaller spinal canals are at greater risk of clinical disease. The complaints are accentuated by activity and controlled by ceasing activity. Diagnosis of spinal stenosis requires demonstration of reduced canal dimensions, either centrally or laterally or both. The majority of the patients with lumbar spinal stenosis can be successfully managed without surgery. Definitive therapy for stenosis is decompression, and this requires surgical removal of offending structures. With this article we reviewed the lumbar spinal stenosis under light of recent literature and with our clinical experience. [Journal of Turgut Özal Medical Center 1997;4(2): 236-242]
Abstract (Original Language): 
Lumbal spinal stenozım klinik önemi, ilk kez Verbiest tarafından belirtildikten sonra daha pek çok araştırıcı tarafından da vurgulanmıştır. Asıl patoloji spinal kanalda gelişen daralma sonucu kanal içinde bulunan anatomik yapıların basınç altında kalmasıdır. Akondroplazi ve paget gibi bazı sistemik iskelet sistemi hastalıklarında dar kanal bulunabilmesine rağmen en sık görülen neden yaşlanmayla gelişen dejeneratif değişikliklerdir. Gelişimsel olarak dar kanala sahip kişilerde hastalığın görülme riski daha ile lateral daralmanın gösterilmesiyle koyulur. Birçok hasta konservatif yöntemlerle tedavi edilebilir sonuç alınamazsa daralmaya neden olan yapılar cerrahi olarak çıkartılabilir. Bu yazımızda lumbal spinal stenoz literatür ışığında incelenmiş ve kliniğimiz tecrübeleri aktarılmıştır. [Turgut Özal Tıp Merkezi Dergisi 1997;4(2):236-242]
236-242

REFERENCES

References: 

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