Lumbar canal stenosis:a patient

Written by: Dr. Josep Prim Capdevila
Published: | Updated: 26/05/2018
Edited by: Top Doctors®

Julian is 68 years and for 3 years suffering from back pain. Besides a few months ago that whenever he walks right leg hurts. Now also left him injured, has ramps in the legs. Believes that much more tired than before. Le utterly legs. He has consulted the GP and this rule after vascular problems, has sent you the neurosurgeon.

-¿Que tal

?

- Well, but I lose leg strength. Whenever I can walk less. I've brought a lumbar magnetic resonance imaging.

-Look, what is observed in the resonance is having a Lumbar Canal Stenosis. (Figure 1). A lumbar narrow channel due to osteoarthritis. These are surgical cases if the disease is progressive, if every time you walk less range without pain and loses leg strength. Besides the lumbar resonance is important electromyogram, to inform us of the importance of injury to the nerves of the lower extremities. If they fail all treatments including the pharmacological, rehabilitation and radiofrequency rhizotomy, advise surgical intervention.

-¿In the intervention consisting

?

-is called decompressive laminectomy. We conducted a“windows” in the back of the vertebra bone marrow to have space, is free from the oppression of the bone. We try to leave the bone of the middle part, the spinous apophyses, to minimize instability and thus avoid the use of screws. (Figure 2 )

-¿, is very dangerous

?

-Thanks to modern techniques and fixation through the spinous processes this technique is quite grateful, without the vertebral mobility miss and reducing both incision and possible complications. (Figure 3)

Figure 1 degenerative lumbar canal stenosis

Figure 2 bilateral Hemilaminectomy

Figure 3 Rear Fixing

Figure 4 Avoid losing vertebral mobility

Figure 5 Reduction of the incision and surgical approach

*Translated with Google translator. We apologize for any imperfection
Dr. Josep Prim Capdevila

By Dr. Josep Prim Capdevila
Neurological Surgery

Neurosurgeon with 30 years experience, graduated with Cum Laude rate. He has worked in various countries, combining public and private sector, becoming coordinator of the Neurosurgery Department of the prestigious Centro Medico Teknon in Barcelona. It is an absolute benchmark in cases of disc herniation, cervical and lumbar.

*Translated with Google translator. We apologize for any imperfection


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