Artículos de revistas
Degenerative Lumbar Stenosis: Update
Registro en:
Arquivos De Neuro-psiquiatria. , v. 67, n. 2 B, p. 553 - 558, 2009.
0004282X
10.1590/S0004-282X2009000300039
2-s2.0-68049088820
Autor
Joaquim A.F.
Sansur C.A.
Hamilton D.K.
Shaffrey C.I.
Institución
Resumen
We present a literature review of the diagnosis and treatment of acquired lumbar spinal stenosis (LS), with a brief description of new surgical techniques. LS is the most common cause of spinal surgery in individuals older than 65 years of age. Neurogenic claudication and radiculopathy result from compression of the cauda equina and lumbosacral nerve roots by degenerated spinal elements. Surgical decompression is a well established treatment for patients with refractory, or moderate to severe clinical symptoms. However, the variety of surgical options is vast. New techniques have been developed with the goal of increasing long term functional outcomes. In this article we review lumbar decompression and fusion as treatment options for LS but also present other recent developments. Prospective long term studies are necessary to know which procedures would result in optimal patient outcome. 67 2 B 553 558 Verbiest, H., Neurogenic intermittent claudication in cases with absolute and relative stenosis of the lumbar vertebral canal (ASLC and RSLC), in cases with narrow lumbar intervertebral foramina, and in cases with both entities (1973) Clin Neurosurg, 20, pp. 204-214 Boden, S.D., Davis, D.O., Dina, T.S., Patronas, N.J., Wiesel, S.W., Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. a prospective investigation (1990) Journal of Bone and Joint Surgery - Series a, 72 (3), pp. 403-408 Ciol, M.A., Deyo, R.A., Howell, E., Kreif, S., An assessment of surgery for spinal stenosis: Time trends, geographic variations, complications, and reoperations (1996) Journal of the American Geriatrics Society, 44 (3), pp. 285-290 Kirkaldy-Willis, W.H., Wedge, J.H., Yong-Hing, K., Pathology and pathogenesis of lumbar spondylosis and stenosis (1978) Spine, 3, pp. 319-328 Yong-Hing, K., Kirkaldy-Willis, W.H., The pathophysiology of degenerative disease of the lumbar spine (1983) Orthop Clin North Am, 14, pp. 491-504 Sheehan, J.M., Shaffrey, C.I., Jane Sr., J.A., Degenerative lumbar stenosis: The neurosurgical perspective (2001) Clin Orthop Relat Res, 384, pp. 61-74 Katz, J.N., Harris, M.B., Lumbar spinal stenosis (2008) N Engl J Med, 358, pp. 818-825 Jane Jr., J.A., Di Pierro, C.G., Helm, G.A., Shaffrey, C.I., Jane Sr., J.A., Acquired lumbar stenosis: Topic review and a case series (1997) Neurosurg Focus, 3, pp. E11 Jespersen, S.M., Hansen, E.S., Hoy, K., Christensen, K.O., Lindblad, B.E., Ahrensberg, J., Bunger, C., Two-level spinal stenosis in minipigs: Hemodynamic effects of exercise (1995) Spine, 20 (24), pp. 2765-2773 Deburge, A., Morvan, G., L'imagerie dans les sténoses du canal lombaire (1990) Rev Chir Orthop, 76, pp. 45-49 Fairbank, J.C.T., Pinsent, P.B., The Oswestry Disability Index (2000) Spine, 25, pp. 2940-2953 Kenna, C., Murtagh, J., Patrick or fabere test to test hip and sacroiliac joint disorders (1989) Aust Fam Physician, 18, p. 375 Joaquim, A.F., Abordagem inicial do paciente com mielopatia aguda não compressiva (2007) Rev Bras Medicina, 64, pp. 164-168 Joaquim, A.F., Maturana, F.A.P., Anderle, D.V., Zambelli, H.J.L., Maldaun, M.V.C., Metástases na coluna vertebral (2007) Rev Neurocienc, 15, pp. 240-245 Glassman, S.D., Bridwell, K., Dimar, J.R., Horton, W., Berven, S., Schwab, F., The impact of positive sagittal balance in adult spinal deformity (2005) Spine, 30 (18), pp. 2024-2029. , DOI 10.1097/01.brs.0000179086.30449.96 Videman, T., Malmivaara, A., Mooney, V., The value of axial view in assessing discograms. An experimental study with cadavers (1987) Spine, 12 (3), pp. 299-304 Nardin, R.A., Patel, M.R., Gudas, T.F., Rutkove, S.B., Raynor, E.M., EMG and MRI in the evaluation of radiculopathy (1999) Muscle Nerve, 22, pp. 151-155 Dumitru, D., Zwarts, M.J., Radiculopathies (2002) Electrodiagnostic Medicine. 2nd Ed., pp. 757-758. , Dumitru D, Amato AA, Zwarts MJ (Eds). Philadelphia: Hanley and Belfus Haig, A.J., Tong, H.C., Yamakawa, K.S., The sensitivity and specity of electrodiagnostic testing for the clinical syndrome of lumbar spinal stenosis (2005) Spine, 30, pp. 2667-2676 Atlas, S.J., Keller, R.B., Robson, D., Deyo, R.A., Singer, D.E., Surgical and nonsurgical management of lumbar spinal stenosis: Four-year outcomes from the Maine lumbar spine study (2000) Spine, 25 (5), pp. 556-562. , DOI 10.1097/00007632-200003010-00005 Simotas, A.C., Dorey, F.J., Hansraj, K.K., Cammisa Jr., F., Nonoperative treatment for lumbar spinal stenosis: Clinical and outcome results and a 3-year survivorship analysis (2000) Spine, 25, pp. 197-204 Johnsson, K.-E., Rosen, I., Uden, A., The natural course of lumbar spinal stenosis (1993) Acta Orthopaedica Scandinavica, Supplement, 64 (251), pp. 67-68 Whitman, J.M., Flynn, T.W., Childs, J.D., A comparison between two physical therapy treatment programs for patients with lumbar spinal stenosis: A randomized clinical trial (2006) Spine, 31, pp. 2541-2549 Armon, C., Argoff, C.E., Samuels, J., Backonja, M.-M., Assessment: Use of epidural steroid injections to treat radicular lumbosacral pain: Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology (2007) Neurology, 68 (10), pp. 723-729. , DOI 10.1212/01.wnl.0000256734.34238.e7, PII 0000611420070306000007 Friedly, J., Chan, L., Deyo, R., Increases in lumbosacral injections in the medicare population 1994 to 2001 (2007) Spine, 32, pp. 1754-1760 Weinstein, J.N., Tosteson, T.D., Lurie, J.D., Surgical versus nonsurgical therapy for lumbar spinal stenosis (2008) N Engl J Med, 358, pp. 794-810. , SPORT Investigators Malmivaara, A., Slatis, P., Heliovaara, M., Sainio, P., Kinnunen, H., Kankare, J., Dalin-Hirvonen, N., Hurri, H., Surgical or nonoperative treatment for lumbar spinal stenosis? a randomized controlled trial (2007) Spine, 32 (1), pp. 1-8. , DOI 10.1097/01.brs.0000251014.81875.6d, PII 0000763220070101000002 Oertel, M.F., Ryang, Y.-M., Korinth, M.C., Gilsbach, J.M., Rohde, V., Long-term results of microsurgical treatment of lumbar spinal stenosis by unilateral laminotomy for bilateral decompression (2006) Neurosurgery, 59 (6), pp. 1264-1269. , DOI 10.1227/01.NEU.0000245616.32226.58, PII 0000612320061200000013 Resnick, D.K., Choudhri, T.F., Dailey, A.T., Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 10: Fusion following decompression in patients with stenosis without spondylolisthesis (2005) J Neurosurg Spine, 2, pp. 686-691 Yone, K., Sakou, T., Kawauchi, Y., Yamaguchi, M., Yanase, M., Indication of fusion for lumbar spinal stenosis in elderly patients and its significance (2006) Spine, 21, pp. 242-248 Fox, M.W., Onofrio, B.M., Hanssen, A.D., Clinical outcomes and radiological instability following decompressive lumbar laminectomy for degenerative spinal stenosis: A comparison of patients undergoing concomitant arthrodesis versus decompression alone (1996) J Neurosurg, 85, pp. 793-802 Herkowitz, H.N., Kurz, L.T., Degenerative lumbar spondylolisthesis with spinal stenosis: A prospective study comparing decompression with decompression and intertransverse process arthrodesis (1991) J Bone Joint Surg Am, 73, pp. 802-808 Katz, J.N., Dalgas, M., Stucki, G., Degenerative lumbar spinal stenosis: Diagnostic value of the history and physical examination (1995) Arthritis Rheum, 38, pp. 1236-1241 Katz, J.N., Lipson, S.J., Lew, R.A., Lumbar laminectomy alone or with instrumented or noninstrumented arthrodesis in degenerative lumbar spinal stenosis: Patient selection, costs, and surgical outcomes (1997) Spine, 22, pp. 1123-1131 Selby, D.K., Gill, K., Blumenthal, S.L., Fusion of the lumbar spine (1990) Neurological Surgery. 3rd Ed., pp. 2785-2804. , Youmans JR (Ed). Philadelphia: WB Saunders Hackenberg, L., Halm, H., Bullmann, V., Vieth, V., Schneider, M., Liljenqvist, U., Transforaminal lumbar interbody fusion: A safe technique with satisfactory three to five year results (2005) European Spine Journal, 14 (6), pp. 551-558. , DOI 10.1007/s00586-004-0830-1 Pavlov, P.W., Meijers, H., Van Limbeek, J., Jacobs, W.C.H., Lemmens, J.A.M., Obradov-Rajic, M., De Kleuver, M., Good outcome and restoration of lordosis after anterior lumbar interbody fusion with additional posterior fixation (2004) Spine, 29 (17), pp. 1893-1899. , DOI 10.1097/01.brs.0000137067.68630.70 Periasamy, K., Shah, K., Wheelwright, E.F., Posterior lumbar interbody fusion using cages, combined with instrumented posterolateral fusion: A study of 75 cases (2008) Acta Orthop Belg, 74, pp. 240-248 Salehi, S.A., Tawk, R., Ganju, A., Lamarca, F., Liu, J.C., Ondra, S.L., Sonntag, V.K.H., Frempong-Boadu, A.K., Transforaminal Lumbar Interbody Fusion: Surgical Technique and Results in 24 Patients (2004) Neurosurgery, 54 (2), pp. 368-374 Hsieh, P.C., Koski, T.R., O'Shaughnessy, B.A., Anterior lumbar interbody fusion in comparison with transforaminal lumbar interbody fusion: Implications for the restoration of foraminal height, local disc angle, lumbar lordosis, and sagittal balance (2007) J Neurosurg Spine, 7, pp. 379-386 Ozgur, B.M., Aryan, H.E., Pimenta, L., Taylor, W.R., Extreme Lateral Interbody Fusion (XLIF): A novel surgical technique for anterior lumbar interbody fusion (2006) Spine J, 6, pp. 435-443 Ahlmann, E., Patzakis, M., Roidis, N., Shepherd, L., Holtom, P., Comparison of anterior and posterior iliac crest bone grafts in terms of harvest-site morbidity and functional outcomes (2002) Journal of Bone and Joint Surgery - Series a, 84 (5), pp. 716-720+Adv46 Zipfel, G.J., Guiot, B.H., Fessler, R.G., Bone grafting (2003) Neurosurg Focus, 14, pp. E8 Schizas, C., Triantafyllopoulos, D., Kosmopoulos, V., Tzinieris, N., Stafylas, K., Posterolateral lumbar spine fusion using a novel demineralized bone matrix: A controlled case pilot study (2008) Arch Orthop Trauma Surg, 128, pp. 621-625 Boden, S.D., Davis, D.O., Dina, T.S., Patronas, N.J., Wiesel, S.W., Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. a prospective investigation (1990) Journal of Bone and Joint Surgery - Series a, 72 (3), pp. 403-408 Hsu, W.K., Wang, J.C., The use of bone morphogenetic protein in spine fusion (2008) Spine J, 8, pp. 419-425 Shields, L.B., Raque, G.H., Glassman, S.D., Adverse effects associated with high-dose recombinant human bone morphogenetic protein-2 use in anterior cervical spine fusion (2006) Spine, 31, pp. 542-547 Glassman, S.D., Carreon, L., Djurasovic, M., Campbell, M.J., Puno, R.M., Johnson, J.R., Dimar, J.R., Posterolateral lumbar spine fusion with INFUSE bone graft (2007) Spine Journal, 7 (1), pp. 44-49. , DOI 10.1016/j.spinee.2006.06.381, PII S1529943006006930 Shim, C.S., Lee, S.H., Shin, H.D., Charite versus ProDisc: A comparative study of a minimun 3-year follow-up (2007) Spine, 32, pp. 1012-1018 Guyer, R.D., McAfee, P.C., Hochschuler, S.H., Prospective randomized study of the Charite artificial disc: Data from two investigational centers (2004) Spine J, 4, pp. 252-259 Andeson, P.A., Tribus, C.B., Kitchel, S.H., Treatment of neurogenic claudication by interspinous decompression: Application of the X STOP device in patients with lumbar degenerative spondylolisthesis (2006) J Neurosurg Spine, 4, pp. 463-471 Kondrashov, D.G., Hannibal, M., Hsu, K.Y., Zucherman, J.F., Interspinous process decompression with the X-STOP device for lumbar spinal stenosis: A 4-year follow-up study (2006) Journal of Spinal Disorders and Techniques, 19 (5), pp. 323-327. , DOI 10.1097/01.bsd.0000211294.67508.3b, PII 0002472020060700000004 Welch, W.C., Cheng, B.C., Awad, T.E., Clinical outcomes of the Dynesys dynamic neutralization system: 1-year preliminary results (2007) Neurosurg Focus, 22, pp. E8 Siepe, C.J., Mayer, H.M., Wiechert, K., Korge, A., Clinical results of total lumbar disc replacement with ProDisc II: Three-year results for different indications (2006) Spine, 31 (17), pp. 1923-1932. , DOI 10.1097/01.brs.0000228780.06569.e8, PII 0000763220060801000009