Congenital lumbar spinal stenosis: a prospective, control-matched, cohort radiographic analysis

Singh, Kern; Samartzis, D; Vaccaro, Alexander R.; Nassr, Ahmad; Andersson, Gunnar; Yoon, S. Tim; Phillips, Frank M.; Goldberg, Edward J.; An, Howard S.

doi:10.1016/j.spinee.2005.05.385

Cited by 106 publications

(71 citation statements)

References 37 publications

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“…Developmental stenosis is rare, characterized by short pedicles and narrowing of the spinal canal dimensions [8,9], whereas acquired degenerative stenosis is considered the most commonly observed type [10]. This type of stenosis arises in an advanced age and is essentially associated with degenerative changes of the three-joint complex [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Degenerative lumbar spinal stenosis and lumbar spine configuration

et al. 2010

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As life expectancy increases, degenerative lumbar spinal stenosis (DLSS) becomes a common health problem among the elderly. DLSS is usually caused by degenerative changes in bony and/or soft tissue elements. The poor correlation between radiological manifestations and the clinical picture emphasizes the fact that more studies are required to determine the natural course of this syndrome. Our aim was to reveal the association between lower lumbar spine configuration and DLSS. Two groups were studied: the first included 67 individuals with DLSS (mean age 66 ± 10) and the second 100 individuals (mean age 63.4 ± 13) without DLSS-related symptoms. Both groups underwent CT images (Philips Brilliance 64) and the following measurements were performed: a crosssection area of the dural sac, vertebral body dimensions (height, length and width), AP diameter of the bony spinal canal, lumbar lordosis and sacral slope angles. All measurements were taken at L3 to S1. Vertebral body lengths were significantly greater in the DLSS group at all levels compared to the control, whereas anterior vertebral body heights (L3, L4, L5) and middle vertebral heights (L3, L5) were significantly smaller in the LSS group. Lumbar lordosis, sacral slope and bony spinal canal were significantly smaller in the DLSS compared to the control. We conclude that the size and shape of vertebral bodies and canals significantly differed between the study groups. A tentative model is suggested to explain the association between these characteristics and the development of degenerative spinal stenosis.

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Section: Introductionmentioning

confidence: 99%

Degenerative lumbar spinal stenosis and lumbar spine configuration

et al. 2010

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“…As LSS is most often acquired through degenerative changes, symptoms are usually not experienced until the patients are in their 60's, with the exception of congenital spinal stenosis were patients typically have a much earlier onset of symptoms (Singh et al 2005). The level between the fourth and the fifth vertebral body (L4-L5) is most often affected.…”

Section: The Natural History Of Spinal Stenosismentioning

confidence: 99%

Determinants of outcome in lumbar spinal stenosis surgery

Sigmundsson¹

2014

Acta Orthopaedica

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Cover illustration: "Spine Talk", acryl paint on stretched canvas. The painting was created in 2008 by the Canadian artist Barbara C. St Jean and is a painting of two people talking to each other over top of a spine of another. The painting was created to illustrate the problems associated with back pain and the discussions with medical professionals over the causes and treatment options. By permission from the artist.

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“…However, during the degeneration and aging process, the bony structure and soft tissue such as ligaments surrounding the nerves see hypertrophic change which possibly compromises the neuronal structure including nerve roots and their low back branches. Most patients with spondylosis, spinal stenosis and spondylolisthesis with or without radicular symptoms suffer from symptoms of back pain (Singh et al, 2005). Before the radicular symptoms are displayed, the narrowing canals compress the nerves and more or less cause local inflammatory and mechanical mechanism of back pain.…”

Section: Neurogenic Low Back Painmentioning

confidence: 99%

“…Since the pain is possibly from inflammation or mechanical stress directed to the nerves, neuronal modulation or temporary blocks are suitable for those without severe spinal stenosis or not suitable for surgical intervention. The clinical presentation of neurogenic LBP always combined both low back symptoms and neurogenic claudication with or without radicular pain (Singh et al, 2005). Diagnosis of neurogenic LBP depends on clinical presentation and dynamic lateral lumbar X ray imaging.…”

Section: Neurogenic Low Back Painmentioning

confidence: 99%