Spinal stenosis in terecera and fourth age

Stenosis in 3rd and 4th age

Written by: Dr. Carlos Ruiz-Ocaña Montalvo
Published: | Updated: 13/08/2018
Edited by: Top Doctors®

Dr. Ruiz- Ocana is Head of Department of Neurosurgery, University Hospital Chiron Madrid and President of the Spanish Society of Neurosurgery.

¿'s canal stenosis

?

I think the first thing is to explain what the spinal canal. Call spinal canal to canal located throughout the column and form the vertebrae to articulate with each other on all the medial axis of the column. By this conduit or channel down the cord from the base of the skull until the last vertebrae. Is also important to know that emerge from the spinal cord to the right side panel, left, and the nerves transmit sensation and will make possible the movement of muscles after a cerebral, voluntary or reflex order.

Stenosis refers to the loss of the diameter of the spinal canal or holes through which the nerves out, being created a conflict of space between container and content. Ie neural elements are compressed with little blood supply. The most common area is the lumbar region affectation.

¿What these patients have symptoms

?

Basically patients complain of pain or tingling sensation in the legs after having walked a distance that will vary between 50 and 150 meters according to the degree of pathology presenting. Many of these patients have to sit and rest in order to start up again. There is usually no pain at rest.

Other symptom is pain that radiates in the form of sciatica in one or both legs even without having moved off and only stand. Sometimes there is a combination of these symptoms.

¿happens at 3ªand 4ªage

Over the years the joints of the vertebrae degenerate and form bony ridges that contribute to narrowing of the canal. Furthermore thickening an existing ligament between the vertebrae which also reduces the diameters produced. As the average human life is prolonged, this pathology is more common in the consultations.

¿solution exists ?¿That surgery has risks

?

The solution is basically decompressive surgery. There is no risk of neurological sequelae and the good results achieved 80%. Is the risk of the patient general pathology such as hypertension, diabetes, cardiac disorders or taking anticoagulants frequent at this age that the surgery itself.

*Translated with Google translator. We apologize for any imperfection
Dr. Carlos Ruiz-Ocaña Montalvo

By Dr. Carlos Ruiz-Ocaña Montalvo
Neurological Surgery

Dr. Ruiz-Ocaña Montalvo is Doctor "cum laude" from the Complutense University of Madrid and a specialist in neurosurgery since 1979. After obtaining a place by opposition in the department of neurosurgery at the Hospital de la Princesa, maintained a constant and intense activity care, public and private (Group Ruber) at the same time you spent some time getting square Teaching Associate Professor of Neurosurgery at the Complutense University of Madrid. After being hired by the Clinical Hospital of Madrid as Section Head and stay in that position for eight years, he decided to devote himself exclusively to private medicine as Chief of Neurosurgery at the Ruber International Hospital since 2001. He currently combines his clinical work with teaching, He is professor at the European University of Madrid, in addition to hold the post of President of the Spanish Society of Neurosurgery.

Since 2006 he joined the University Hospital of Madrid Chiron exclusive dedication in order to stay in hospital and technical forefront constant innovation.

Although he is an expert in all fields of neurosurgery, it is extremely advanced techniques in spinal surgery, in addition to the cranial base tumors, surgical treatment of trigeminal neuralgia and epilepsy. In recent years it has developed techniques for column endoscopy and for the treatment of pituitary processes.

His team has brought together a group of experts in child neurosurgery, neuro-oncology and surgical treatment of epilepsy, while in the background his human qualities.

*Translated with Google translator. We apologize for any imperfection


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