Lumbar Spinal Stenosis

Dorn Spinal Therapy

Spine Healing Therapy

Get Instant Access

Normal lumbar canal

Stenotic lumbar canal

'Trefoil' appearance

SPONDYLOLISTHESIS

Congenital narrowing of the lumbar spinal canal, or secondary narrowing due to hypertrophic facet joints, may predispose to root compression from a herniated disc, but in addition may produce 'neurogenic claudication'. Symptoms of root pain, paraesthesia or weakness develop after standing or walking and may be relieved by sitting, bending over or lying down. Straight leg raising is seldom impaired, in contrast to patients with disc protrusion. Objective neurological findings may only appear after exercise. In some patients this condition only affects one side - the 'unilateral facet syndrome'. Plain X-rays may show thickened joints, but CT scanning, MRI or radiculography is required to establish the diagnosis. Treatment: A wide laminectomy with root decompression usually produces good results with complete relief of symptoms.

Normal lumbar canal

Stenotic lumbar canal

'Trefoil' appearance

SPONDYLOLISTHESIS

Spondylolisthesis is a forward shift of one vertebral body on another. Slip occurs due to degenerative disease of the facet joints (commonly at ---------

L4/L5) or to a developmental break or elongation of the L5 lamina causing an L5/S1 spondylolisthesis.

Spondylolisthesis is often symptomless but the resultant narrowing in canal width may accentuate symptoms of root compression from disc protrusion or joint hypertrophy.

Treatment: usually conservative, but if signs of root compression arc present, then decompression of the root canal is necessary. Occasionally fusion is required, especially if back pain predominates.

Was this article helpful?

0 0
Peripheral Neuropathy Natural Treatment Options

Peripheral Neuropathy Natural Treatment Options

This guide will help millions of people understand this condition so that they can take control of their lives and make informed decisions. The ebook covers information on a vast number of different types of neuropathy. In addition, it will be a useful resource for their families, caregivers, and health care providers.

Get My Free Ebook


Post a comment