Actualización en estenorraquis lumbar: diagnóstico, tratamiento y controversias

Spinal lumbar stenosis is a disease that occurs mainly between the 5th and 7th decade of life and can be congenital or acquired. The latter has many etiologies, but a degenerative cause is the most common. Stenosis is a narrowing of the spinal canal diameter caused by many factors such as bulging di...

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Autores principales:	Molina,Marcelo, Wagner,Pablo, Campos,Mauricio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2011
Materias:	Arthrodesis Spinal stenosis Spondylolisthesis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011001100016
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spelling	oai:scielo:S0034-988720110011000162012-02-08Actualización en estenorraquis lumbar: diagnóstico, tratamiento y controversiasMolina,MarceloWagner,PabloCampos,Mauricio Arthrodesis Spinal stenosis Spondylolisthesis Spinal lumbar stenosis is a disease that occurs mainly between the 5th and 7th decade of life and can be congenital or acquired. The latter has many etiologies, but a degenerative cause is the most common. Stenosis is a narrowing of the spinal canal diameter caused by many factors such as bulging discs, hypertrophy of flavum ligament, facet capsule thickening and osteophyte formation. The classical symptom of the disease is sciatic pain, that improves with lumbar flexion and worsens with ambulation. Neurological examination is often normal and the most useful imaging test is magnetic resonance imaging (MRI). Conservative management consists in non-steroidal anti-inflammatory drugs, muscle relaxants, physical therapy and epidural - radicular infiltrations. Spinal infiltrations have a proven efficacy for pain management. A good result of this therapy predicts a favorable outcome after surgery. Surgical treatment consists in decompression with or without lumbar fusion. The addition of an arthrodesis is recommended for degenerative spondylolisthesis, correction of deformities, recurrent spinal stenosis with instability, sagittal or coronal imbalance and adjacent segment disease.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.139 n.11 20112011-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011001100016es10.4067/S0034-98872011001100016
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Arthrodesis Spinal stenosis Spondylolisthesis
spellingShingle	Arthrodesis Spinal stenosis Spondylolisthesis Molina,Marcelo Wagner,Pablo Campos,Mauricio Actualización en estenorraquis lumbar: diagnóstico, tratamiento y controversias
description	Spinal lumbar stenosis is a disease that occurs mainly between the 5th and 7th decade of life and can be congenital or acquired. The latter has many etiologies, but a degenerative cause is the most common. Stenosis is a narrowing of the spinal canal diameter caused by many factors such as bulging discs, hypertrophy of flavum ligament, facet capsule thickening and osteophyte formation. The classical symptom of the disease is sciatic pain, that improves with lumbar flexion and worsens with ambulation. Neurological examination is often normal and the most useful imaging test is magnetic resonance imaging (MRI). Conservative management consists in non-steroidal anti-inflammatory drugs, muscle relaxants, physical therapy and epidural - radicular infiltrations. Spinal infiltrations have a proven efficacy for pain management. A good result of this therapy predicts a favorable outcome after surgery. Surgical treatment consists in decompression with or without lumbar fusion. The addition of an arthrodesis is recommended for degenerative spondylolisthesis, correction of deformities, recurrent spinal stenosis with instability, sagittal or coronal imbalance and adjacent segment disease.
author	Molina,Marcelo Wagner,Pablo Campos,Mauricio
author_facet	Molina,Marcelo Wagner,Pablo Campos,Mauricio
author_sort	Molina,Marcelo
title	Actualización en estenorraquis lumbar: diagnóstico, tratamiento y controversias
title_short	Actualización en estenorraquis lumbar: diagnóstico, tratamiento y controversias
title_full	Actualización en estenorraquis lumbar: diagnóstico, tratamiento y controversias
title_fullStr	Actualización en estenorraquis lumbar: diagnóstico, tratamiento y controversias
title_full_unstemmed	Actualización en estenorraquis lumbar: diagnóstico, tratamiento y controversias
title_sort	actualización en estenorraquis lumbar: diagnóstico, tratamiento y controversias
publisher	Sociedad Médica de Santiago
publishDate	2011
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011001100016
work_keys_str_mv	AT molinamarcelo actualizacionenestenorraquislumbardiagnosticotratamientoycontroversias AT wagnerpablo actualizacionenestenorraquislumbardiagnosticotratamientoycontroversias AT camposmauricio actualizacionenestenorraquislumbardiagnosticotratamientoycontroversias
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Actualización en estenorraquis lumbar: diagnóstico, tratamiento y controversias

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