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Article: Lumbar spinal stenosis

TitleLumbar spinal stenosis
Authors
Issue Date2008
PublisherAmerican Academy of Orthopaedic Surgeons. The Journal's web site is located at http://www.jaaos.org/
Citation
Journal Of The American Academy Of Orthopaedic Surgeons, 2008, v. 16 n. 3, p. 171-176 How to Cite?
AbstractSpinal stenosis is a manifestation of several distinct etiologies that result in narrowing of the spinal canal. Degenerative changes involving the facet joints, intervertebral disks, and ligaments all may contribute to stenosis or exacerbate symptoms in the patient with congenitally narrowed canals. For most patients, spinal stenosis is successfully managed with activity modification, exercise, nonsteroidal anti-inflammatory drugs, and epidural injection. Correlating patient symptoms with radiographic evidence of neurologic compression helps ensure a more predictable outcome. Surgical intervention may be necessary in the patient with intractable pain, neurologic compromise, or mechanical instability. Various interventions exist, including microscopic laminectomy, lumbar laminoplasty, and lumbar laminotomy. Surgery should be individualized to address the specific spinal pathology and to allow for complete neurologic decompression. Using the principles of spinal surgery reviewed herein, one can expect improved patient outcomes. Copyright 2008 by the American Academy of Orthopaedic Surgeons.
Persistent Identifierhttp://hdl.handle.net/10722/92928
ISSN
2023 Impact Factor: 2.6
2023 SCImago Journal Rankings: 1.352
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorSingh, Ken_HK
dc.contributor.authorSamartzis, Den_HK
dc.contributor.authorBiyani, Aen_HK
dc.contributor.authorAn, HSen_HK
dc.date.accessioned2010-09-22T05:04:03Z-
dc.date.available2010-09-22T05:04:03Z-
dc.date.issued2008en_HK
dc.identifier.citationJournal Of The American Academy Of Orthopaedic Surgeons, 2008, v. 16 n. 3, p. 171-176en_HK
dc.identifier.issn1067-151Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/92928-
dc.description.abstractSpinal stenosis is a manifestation of several distinct etiologies that result in narrowing of the spinal canal. Degenerative changes involving the facet joints, intervertebral disks, and ligaments all may contribute to stenosis or exacerbate symptoms in the patient with congenitally narrowed canals. For most patients, spinal stenosis is successfully managed with activity modification, exercise, nonsteroidal anti-inflammatory drugs, and epidural injection. Correlating patient symptoms with radiographic evidence of neurologic compression helps ensure a more predictable outcome. Surgical intervention may be necessary in the patient with intractable pain, neurologic compromise, or mechanical instability. Various interventions exist, including microscopic laminectomy, lumbar laminoplasty, and lumbar laminotomy. Surgery should be individualized to address the specific spinal pathology and to allow for complete neurologic decompression. Using the principles of spinal surgery reviewed herein, one can expect improved patient outcomes. Copyright 2008 by the American Academy of Orthopaedic Surgeons.en_HK
dc.languageengen_HK
dc.publisherAmerican Academy of Orthopaedic Surgeons. The Journal's web site is located at http://www.jaaos.org/en_HK
dc.relation.ispartofJournal of the American Academy of Orthopaedic Surgeonsen_HK
dc.subject.meshHumans-
dc.subject.meshLumbar Vertebrae-
dc.subject.meshSpinal Stenosis - diagnosis - surgery-
dc.titleLumbar spinal stenosisen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1067-151X&volume=16&issue=3&spage=171&epage=176&date=2008&atitle=Lumbar+spinal+stenosis-
dc.identifier.emailSamartzis, D:dspine@hku.hken_HK
dc.identifier.authoritySamartzis, D=rp01430en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.5435/00124635-200803000-00008-
dc.identifier.pmid18316715-
dc.identifier.scopuseid_2-s2.0-41149164132en_HK
dc.identifier.hkuros167463-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-41149164132&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume16en_HK
dc.identifier.issue3en_HK
dc.identifier.spage171en_HK
dc.identifier.epage176en_HK
dc.identifier.isiWOS:000253744500008-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridSingh, K=7404762677en_HK
dc.identifier.scopusauthoridSamartzis, D=34572771100en_HK
dc.identifier.scopusauthoridBiyani, A=7003634958en_HK
dc.identifier.scopusauthoridAn, HS=7202277351en_HK
dc.identifier.issnl1067-151X-

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