• Home
  • NEW DAY MEDICINE
  • 1 (75) 2025
  • 77 -1 (75) 2025 - Eshkulov D.I., Khuzhanazarov I.E. - CLINICAL, DIAGNOSTIC CRITERIA AND ENDOSCOPIC TREATMENT OF DEGENERATIVE LUMBAR SPINAL CANAL STENOSIS

77 -1 (75) 2025 - Eshkulov D.I., Khuzhanazarov I.E. - CLINICAL, DIAGNOSTIC CRITERIA AND ENDOSCOPIC TREATMENT OF DEGENERATIVE LUMBAR SPINAL CANAL STENOSIS

CLINICAL, DIAGNOSTIC CRITERIA AND ENDOSCOPIC TREATMENT OF DEGENERATIVE LUMBAR SPINAL CANAL STENOSIS

Eshkulov D.I. - Republican Specialized Traumatology and Orthopedics Scientific and Practical Medical Center

Khuzhanazarov I.E. - Republican Specialized Traumatology and Orthopedics Scientific and Practical Medical Center, Tashkent Medical Academy

Resume

The increasing average life expectancy in combination with the requirements for maintaining its quality leads to an increase in the number of elderly and senile patients seeking medical care with complaints of decreasing quality of life caused by degenerative spinal degeneration. Degenerative-dystrophic changes in the spine are a genetically determined poly-etiological dystrophic process. In elderly and senile individuals (60-75 years old and 75-90 years old according to the World Health Organization classification, 1963), degenerative spinal changes are a manifestation of natural involutive processes, occurring in 95-98% of cases and can lead to the formation of spinal canal stenosis. Acquired spinal stenosis often develops in the 70s of life.

Keywords: PSLD (Percutaneous Stenoscopic Lumbar Decompression) spinal canal stenosis, degenerative stenosis, decompression, endoscopy, decompression «over-the-top».

First page

444

Last page

449

For citation:Eshkulov D.I., Khuzhanazarov I.E. - CLINICAL, DIAGNOSTIC CRITERIA AND ENDOSCOPIC TREATMENT OF DEGENERATIVE LUMBAR SPINAL CANAL STENOSIS//New Day in Medicine 1(75)2025 444-449 https://https://newdayworldmedicine.com/en/new_day_medicine/1-75-2025

List of References

  1. Schar RT, Kiebach S, Raabe A, Ulrich CT. Reoperation Rate after Micro- surgical Uni- or Bilateral Laminotomy for Lumbar Spinal Stenosis with and without Low-grade Spondylolisthesis: What do Preoperative Radiographic Parameters Tell Us? Spine (Phila Pa 1976). 2019;44(4):245-251. https://doi.org/10.1097/BRS.0000000000002798
  2. den Boogert HF, Keers JC, Marinus Oterdoom DL, Kuijlen JM. Bilateral ver- sus unilateral interlaminar approach for bilateral decompression in patients with single-level degenerative lumbar spinal stenosis: a multicenter retrospec- tive study of 175 patients on postoperative pain, functional disability, and pa- tient satisfaction. //Journal of Neurosurgery. Spine. 2015;23(3):326-335. https://doi.org/10.3171/2014.12.SPINE13994
  3. Verbiest H. A radicular syndrome from developmental narrowing of the lum- bar vertebral canal. //The Journal of Bone and Joint Surgery. British Volume. 1954;36-B(2):230-237. https://doi.org/10.1302/0301-620X.36B2.230
  4. Niggemeyer O, Strauss JM, Schulitz KP. Comparison of surgical procedures for degenerative lumbar spinal stenosis: a meta-analysis of the literature from 1975 to 1995. //European Spine Journal. 1997;6(6):423-429. https://doi.org/10.1007/BF01834073
  5. Verbiest H. The significance and principles of computerized axial tomogra- phy in idiopathic developmental stenosis of the bony lumbar vertebral canal. Spine (Phila Pa 1976). 1979;4(4):369-378.https://doi.org/10.1097/00007632-197907000-00005
  6. Arnoldi CC, Brodsky AE, Cauchoix J, Crock HV, Dommisse GF, Ed- gar MA, Gargano FP, Jacobson RE, Kirkaldy-Willis WH, Kurihara A, Lan- genskiöld A, Macnab I, McIvor GW, Newman PH, Paine KW, Russin LA, Sheldon J, Tile M, Urist MR, Wilson WE, Wiltse LL. Lumbar spinal ste- nosis and nerve root entrapment syndromes. Definition and classification. Clinical Orthopaedics and Related Research. 1976;115:4-5.
  7. Kirkaldy-Willis WH, Wedge JH, Yong-Hing K, Reilly J. Pathology and pathogenesis of lumbar spondylosis and stenosis. Spine (Phila Pa 1976). 1978;3(4):319-328. https://doi.org/10.1097/00007632-197812000-00004
  8. Boos N, Aebi M. Spinal Disorders: Fundamentals of Diagnosis and Treatment. Berlin; New York: Springer; 2008. https://doi.org/10.3174/ajnr.A1299
  9. Schizas C, Theumann N, Burn A, Tansey R, Wardlaw D, Smith FW, Ku- lik G. Qualitative grading of severity of lumbar spinal stenosis based on the morphology of the dural sac on magnetic resonance images. Spine (Phila Pa 1976). 2010;35(21):1919-1924. https://doi.org/10.1097/BRS.0b013e3181d359bd
  10. Schatlo B, Horanin M, Hernandez-Durán S, Solomiichuk V, Rohde V. Shape of the Spinal Canal Is Not Associated with Success Rates of Micro- surgical Unilateral Laminotomy and Bilateral Decompression for Lumbar Spinal Canal Stenosis. //World Neurosurgery. 2018;116:42-47. https://doi.org/10.1016/j.wneu.2018.03.137
  11. Коновалов Н.А., Гринь А.А., Древаль О.Н., Джинджихадзе Р.С., Асю- тин Д.С. Клинические рекомендации по диагностике и лечению дегенеративного стеноза позвоночного канала на пояснично-крестцовом уровне. 2015. Ссылка активна на 25.05.21.
  12. Konovalov NA, Grin AA, Dreval ON, Djindzhikhadze RS, Asyutin DS. Klinicheskie rekomendacii po diagnostike i lecheniyu degenerativnogo stenoza pozvonochnogo kanala na poyasnichno-krestcovom urovne. 2015. (In Russ.). Accessed May 25, 2021. https://www.mst.ru/information/manual/spine_stenosis.pdf
  13. Siepe CJ, Sauer D, Mayer MH. Full endoscopic, bilateral over-the-top de- compression for lumbar spinal stenosis. European Spine Journal. 2018;27(suppl 4):563-565. https://doi.org/10.1007/s00586-018-5656-3
  14. Брюханов В.Г., Кошкарева З.В., Сороковиков В.А., Горбунов А.В. Диагностика стенозирующих процессов позвоночного канала на поясничном уровне (обзор литературы). Бюллетень ВСНЦ СО РАМН. 2010;6(76):29-31. Bryukhanov VG, Koshkareva ZV, Sorokovikov VA, Gorbunov AV. Diag- nostics of stenosing processes of the spinal canal at the lumbar level (liter- ature review). Byulleten’ VSNC SO RAMN. 2010;6(76):29-31. (In Russ.).
  15. Adogwa O, Carr RK, Kudyba K, Karikari I, Bagley CA, Gokaslan ZL, The- odore N, Cheng JS. Revision lumbar surgery in elderly patients with symp- tomatic pseudarthrosis, adjacent-segment disease, or same-level recurrent stenosis. Part 1. Two-year outcomes and clinical efficacy: clinical article. Journal of Neurosurgery. Spine. 2013;18(2):139-146. https://doi.org/10.3171/2012.11.SPINE12224
  16. Schöller K, Steingrüber T, Stein M, Vogt N, Müller T, Pons-Kühnemann J, Uhl E. Microsurgical unilateral laminotomy for decompression of lumbar spinal stenosis: long-term results and predictive factors. Acta Neurochirurgi- ca. 2016;158(6):1103-1113. 17. Weinstein JN, Tosteson TD, Lurie JD, Tosteson AN, Blood E, Hans- com B, Herkowitz H, Cammisa F, Albert T, Boden SD, Hilibrand A, Gold- berg H, Berven S, An H; SPORT Investigators. Surgical versus nonsurgical therapy for lumbar spinal stenosis. //The New England Journal of Medicine. 2008;358(8):794-810. https://doi.org/10.1056/NEJMoa0707136
  17. Amundsen T, Weber H, Nordal HJ, Magnaes B, Abdelnoor M, Lilleâs F. Lumbar spinal stenosis: conservative or surgical management? A prospec- tive 10-year study. Spine (Phila Pa 1976). 2000;25(11):1424-1435; discussion 1435-1436. https://doi.org/10.1097/00007632-200006010-00016
  18. Weinstein JN, Tosteson TD, Lurie JD, Tosteson A, Blood E, Herkowitz H, Cammisa F, Albert T, Boden SD, Hilibrand A, Goldberg H, Berven S, An H. Surgical versus nonoperative treatment for lumbar spinal stenosis four-year results of the Spine Patient Outcomes Research Trial. Spine (Phila Pa 1976). 2010;35(14):1329-1338. https://doi.org/10.1097/BRS.0b013e3181e0f04d https://doi.org/10.1007/s00701-016-2804-6
  19. North American Spine Society. Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis and Treatment of Degenerative Lumbar Spinal Stenosis. 2011.
  20. Malmivaara A, Slätis P, Heliövaara M, Sainio P, Kinnunen H, Kankare J, Dalin-Hirvonen N, Seitsalo S, Herno A, Kortekangas P, Niinimäki T, Rön- ty H, Tallroth K, Turunen V, Knekt P, Härkänen T, Hurri H. Surgical or nonoperative treatment for lumbar spinal stenosis? A randomized controlled trial. Spine (Phila Pa 1976). 2007;32(1):1-8. https://doi.org/10.1097/01.brs.0000251014.81875.6d

    file

    download