Spinal stenosis

Handbook of Clinical Neurology
João Levy MelanciaJoão Lobo Antunes

Abstract

Narrowing of the spinal canal or foramina is a common finding in spine imaging of the elderly. Only when symptoms of neurogenic claudication and/or cervical myelopathy are present is a spinal stenosis diagnosis made, either of the lumbar spine, cervical spine or both (only very rarely is the thoracic spine involved). Epidemiological data suggest an incidence of 1 case per 100 000 for cervical spine stenosis and 5 cases per 100 000 for lumbar spine stenosis. Cervical myelopathy in patients over 50 years of age is most commonly due to cervical spine stenosis. Symptomatic spinal narrowing can be congenital, or, more frequently, acquired. The latter may be the result of systemic illneses, namely endocrinopathies (such as Cushing disease or acromegaly), calcium metabolism disorders (including hyporarthyroidism and Paget disease), inflammatory diseases (such as rheumathoid arthritis) and infectious diseases. Physical examination is more often abnormal in cervical spondylotic myeloptahy whereas in lumbar spinal stenosis it is typically normal. Therefore spinal stenosis diagnosis relies on the clinical picture corresponding to conspicuous causative changes identified by imaging techniques, most importantly CT and MRI. Other ancillary d...Continue Reading

Citations

Nov 4, 2017·The International Journal of Neuroscience·Jason GandhiSardar Ali Khan
Oct 27, 2015·Korean journal of anesthesiology·Ji Hee HongSu Yong Lee
Sep 23, 2016·Spine·Chunlin ZhangXu Yan
Mar 20, 2019·Current Pain and Headache Reports·Shadi MessiahNebojsa Nick Knezevic
Nov 22, 2019·British Journal of Neurosurgery·Amir Human HoveidaeiSeyed Hossein Owji
Sep 15, 2017·Journal of Clinical Imaging Science·Antonio PierroGiuseppina Sallustio
Feb 3, 2018·Pain Reports·Winfried HäuserMary-Ann Fitzcharles
Sep 9, 2020·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Hossein Akbari AghdamErfan Sheikhbahaei
Jan 15, 2021·Regional Anesthesia and Pain Medicine·Reza EhsanianEugene Koshkin
Mar 5, 2021·World Neurosurgery·Ömer Faruk KiliçaslanÖzkan Köse
May 16, 2021·Frontiers of Medicine·Hao Qu, Yu Zhao
Jul 9, 2021·Drugs & Aging·Amir Minerbi, Mary-Ann Fitzcharles

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