Treatment of lumbar spinal stenosis

Treatment of lumbar spinal stenosis:

Lumbar spinal stenosis refers to the anatomical structure of the human body, called the lumbar spinal canal. The lumbar spinal canal is the passage for the lumbar nerves, which is the cauda equina. Under normal circumstances, it has a certain volume, allowing the cauda equina to pass normally. However, with age, the lumbar spine degenerates and the volume of the spinal canal will be occupied by other things, leading to spinal stenosis. There are several factors that lead to spinal stenosis. The first is due to our protruding intervertebral disc; the second is the hypertrophic ligaments, as well as the cohesion of the protruding joints and other comprehensive factors, which may lead to a relative decrease in the volume of the spinal canal, resulting in compression of the cauda equina, leading to the main symptom of intermittent claudication, which is called lumbar spinal stenosis.

Lumbar spinal stenosis can be caused by lumbar degeneration, developmental stenosis or heterogeneity of the lumbar spinal canal, mainly referring to surgery and other reasons. This disease occurs in men over 40 to 50 years old. The sacral spinal canal is most common, especially the fourth, fifth and fifth parts of the lumbar vertebrae. The typical symptoms of lumbar spinal stenosis are low back and leg pain and intermittent claudication. The treatment methods are mainly divided into non-surgical treatment and surgical treatment. The vast majority of lumbar spinal stenosis treatment options are surgical treatment. Strict conservative treatment should be performed before surgery. Surgery is required after strict conservative treatment is ineffective.

Conservative treatment requires avoiding waist movements and using blood-activating and blood-stasis-removing drugs, anti-osteophyte drugs, mannitol and other dehydration drugs. Since the effects of conservative treatment are mostly not particularly ideal, most patients will eventually undergo surgical treatment. Patients with lumbar spinal stenosis are older and have ligament calcification, bone hyperplasia, disc herniation, etc. It is necessary to remove these causes. First, remove the lamina, expand the spinal canal, and then remove the hypertrophic yellow ligament. If there is bone hyperplasia, the bone hyperplasia should be relieved. If there is a disc herniation, the disc needs to be removed, and finally the pedicle screw will be fixed.