Summary
The operative results in 37 consecutive patients suffering from developmental stenosis of the lumbar spinal canal, compared with those in spondylosis and disc herniations, are discussed. The diagnostic certainty of stenosis, suspected on the bases of clinical and radiographic data, is reached only at the operating table. To judge the usefulness of the operation we have considered not only the patients' verdicts, but also the improvements in neurological signs and the appearance of new deficits. Satisfactory results are around 80%, slightly less good with stenosis than with the other causes of lumbar syndrome. Radiographic study with contrast medium is mandatory. Dimer-X has been used with very clear radiographic findings and very few complications. Operating technique is also described: a wide laminectomy with facetectomy is advised. The great importance of early physiotherapy is emphasized.
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Anderson, G. W., Alpers, B. J., Retroperitoneal tumours as a cause of low back and leg pain. Neurology3 (1953), 553–562.
De Palma, A. F., Rothman, R. H., Surgery of lumbar spine. Clin. Orthop.63 (1969), 162–170.
Ehni, G., Significance of the small lumbar spinal canal: cauda equina compression due to spondylosis. Part I. J. Neurosurg.31 (1969), 490–494.
El-Gindi, S., Aref, S., Salama, M., Andrew, J., Infection of intervertebral discs after operation. J. Bone Joint Surg.58-B (1976), 114–116.
Epstein, J. A., Epstein, B. S., Lavine, L. S., Nerve root compression associated with narrowing of lumbar spinal canal. J. Neurol. Neurosurg. Psychiat.25 (1962), 165–176.
Epstein, J. A., Lavine, L. S., Epstein, B. S., Carras, R., Herniated discs and related disorders of the lumbar spine. JAMA202 (1967), 187–190.
Epstein, J. A., Epstein, B. S., Lavine, L. S., Surgical treatment of nerve root compression caused by scoliosis of the lumbar spine. J. Neurosurg.41 (1974), 449–454.
Gambacorta, D., Reale, F., Delfini, R., Scarfò, G. B., Cantore, G. P., Lumbar surgery for disc prolapse, spinal stenosis and spondyloarthrosis in elderly patients. Conj. Meet. Soc. It. Neurochirurg. Belg. Nether. Vere. Neurochirug.—Firenze, Maggio 1977.
Jones, R. A. C., Thomson, J. L. G., The narrow lumbar canal. J. Bone Joint Surg.50-B (1968), 595–605.
Karayamacos, P. E., Yashon, D., Vasko, J. S., Narrow lumbar spinal canal with vascular syndromes. Arch. Surg.111 (1976), 803–806.
Love, J. G., Rivers, M. H., Spinal cord tumour simulating protruded intervertebral disc. JAMA179 (1962), 85–89.
Matarajan, M., Lumbar stenosis. Int. Surg.60 (1975), 544–545.
Morris L., Water soluble contrast myelography in spinal canal stenosis and nerve entrapment. Clin. Orthop.115 (1976), 49–52.
Nicola, G. C., Nizzoli, V., Claudication intermittente des membres inferieurs par stenose totale du canal lombaire. Neurochirurgia17 (1974), 48–57.
Paine, K. W. E., Haung, P. W. H., Lumbar disc syndrome. J. Neurosurg.37 (1972), 75–82.
Paine, K. W. E., Results of decompression for lumbar spinal stenosis. Clin. Orthop.115 (1976), 96–100.
Schatzer, J., Pennal, G. F., Spinal Stenosis, a cause of cauda equina compression. J. Bone Joint Surg.50-B (1968), 606–618.
Shenkin, H. A., Hash, C. J., A new approach to the surgical treatment of lumbar spondylosis. J. Neurosurg.44 (1976), 148–155.
Tile, M.,et al., Spinal stenosis. Results of treatment. Clin. Orthop.115 (1976), 104–108.
Verbiest, H., A radicular syndrome from developmental narrowing of the lumbar vertebral canal. J. Bone Joint Surg.36-B (1954), 230–237.
Verbiest, H., Neurogenic intermittent claudication with special reference to stenosis of the lumbar vertebral canal. North-Holland/American Elsevier Publishing Co. 1976.
Walker, H. R., Extradural osscous lesion simulating the disc syndrome. JAMA172 (1960), 691–694.
Wiltse, L. L., Kirkaldy, W. H., McIvor, G. W. D., The treatment of spinal stenosis. Clin. Orthop.115 (1976), 83–91.
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Reale, F., Delfini, R., Gambacorta, D. et al. Congenital stenosis of lumbar spinal canal: Comparison of results of surgical treatment for this and other causes of lumbar syndrome. Acta neurochir 42, 199–207 (1978). https://doi.org/10.1007/BF01405334
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DOI: https://doi.org/10.1007/BF01405334