Current Concepts and Recent Advances in Understanding and Managing Lumbar Spine Stenosis

Overview

Journal F1000Res

Specialties Biomedical Engineering
Science

Date 2019 Feb 19

PMID 30774933

Citations 29

Authors

Carlos Bagley

Matthew MacAllister

Luke Dosselman

Jessica Moreno

Salah G Aoun

Tarek Y El Ahmadieh

Affiliations

Soon will be listed here.

Abstract

Lumbar spinal stenosis is a degenerative process that is extremely frequent in today's aging population. It can result in impingement on the nerves of the cauda equina or on the thecal sac itself, and lead to debilitating symptoms such as severe leg pain, or restriction in the perimeter of ambulation, both resulting in dependency in daily activities. The impact of the disease is global and includes financial repercussions because of its involvement in the active work force group. Risk factors for the disease include some comorbidities such as obesity or smoking, daily habits such as an active lifestyle, but also genetic factors that are not completely elucidated yet. The diagnosis of lumbar stenosis can be difficult, and involves a combination of radiological and clinical findings. Treatment ranges from conservative measures with physical therapy and core strengthening, to steroid injections in the facet joints or epidural space, to a more radical solution with surgical decompression. The evidence available in the literature regarding the causes, diagnosis and treatment of lumbar spine stenosis can be confusing, as no level I recommendations can be provided yet based on current data. The aim of this manuscript is to provide a comprehensive and updated summary to the reader addressing the multiple aspects of this disease.

Citing Articles

Changes in the Concentration Profile of Selected Micro- and Macro-Elements in the Yellow Ligament Obtained from Patients with Degenerative Stenosis of the Lumbo-Sacral Spine.

Strojny D, Sobanski D, Wojdyla R, Skora K, Hoczela M, Wyczarska-Dziki K J Clin Med. 2025; 14(4).

PMID: 40004784 PMC: 11857044. DOI: 10.3390/jcm14041252.

The role of spinal injections towards optimizing patient selection for spinal surgery: A proof-of-concept study in 176 lower back pain patients.

Voelker A, Kroboth K, Heyde C Patient Saf Surg. 2024; 18(1):31.

PMID: 39482772 PMC: 11526551. DOI: 10.1186/s13037-024-00414-y.

Severity of lumbar spinal stenosis does not impact responsiveness to exercise-based rehabilitation.

Shahidi B, Zavareh A, Richards C, Taitano L, Raiszadeh K medRxiv. 2024; .

PMID: 39399031 PMC: 11469385. DOI: 10.1101/2024.09.20.24314088.

Role of unilateral partial facet joint preservation in postero-lateral approach lumbar interbody fusion for patients with degenerative lumbar spinal stenosis presenting bilateral lower limb symptoms: a retrospective study.

Sun C, Qu C, Zhou C, Zhu K, Tao H, Ma X J Orthop Surg Res. 2024; 19(1):537.

PMID: 39223558 PMC: 11370034. DOI: 10.1186/s13018-024-05020-3.

Factors that influence the results of indirect decompression employing oblique lumbar interbody fusion.

Bokov A, Kalinina S, Khaltyrov M, Saifullin A, Bulkin A World J Orthop. 2024; 15(8):734-743.

PMID: 39165880 PMC: 11331328. DOI: 10.5312/wjo.v15.i8.734.

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