O estreitamento do canal medular é chamado de estenose espinhal e aumenta a probabilidade de compressão da medula, mesmo sem qualquer fratura óssea. Tratamento cirúrgico da estenose degenerativa lombar: comorbidades e Palavras-Chave: Estenose espinhal/cirurgia; Claudicação intermitente; Hipertensão;. This Pin was discovered by IS Life Brasil. Discover (and save) your own Pins on Pinterest.
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Clin Orthop Relat Res. Medida de la superficie del canal vertebral lumbar en los diferentes grupos de edad.
Lumbar spinal canal area in different age groups
Comorbidities negatively influenced the outcome of surgical treatment of degenerative lumbar stenosis with higher rates of postoperative complications. Surgery of the lumbar spine for spinal stenosis in patients 70 years of age or older. The vast majority of patients with degenerative lumbar stenosis DLS begin their treatment in conservative form, with surgical treatment being indicated based on clinical findings, such as refractory pain and claudication over short distances, associated with objective changes in the imaging exams.
The most frequent early complication was postoperative infection, found in seven patients 7. Although Athiviraham et al. Descriptive analysis of data was done with SAS 9. Factors such advanced age and obesity are related to higher susceptibility to diseases of the spine.
Estenose da Coluna
Early postoperative complications diagnosed during admission to surgery found were: This study was approved by the Research Ethics Esspinhal of the institution. Estenose degenerativa da coluna lombar. Patients with only one preoperative comorbidity showed similar complication rates compared to the population without comorbidities.
In the distribution by sex, 47 Thus, factors like age, lifestyle, expectation, and general state of health of the patients can contribute to the decision on surgical conduct. Thus, the aim was to ensure indirect decompression of the foramen after insertion of the intersomatic device. Arkh Anat Gistol Embriol. Morphology of the lumbar spinal canal in normal adults Turks. Nutrition and development, an archaelogical ezpinhal.
Degenerative lumbar spinal stenosis: Meanwhile, residual pain or recurrence of the symptoms and late infection were recorded in five patients each 5. Patients with systemic arterial hypertension SAHinsulin intolerance or diabetes mellitus DMheart disease, and metabolic syndrome associated with SAH, DM, dyslipidemia and obesity have higher levels of wound dehiscence, adjacent infection, and vascular complications. The most prevalent associated disease in this study was systemic arterial hypertension in 44 patients Nonoperative treatment of lumbar spinal stenosis with neurogenic claudication: Dealing with geographic variations in the use of hospitals.
The criteria used in the indication for intersomatic arthrodesis was the presence of reduced disc height with mobility of the segment and foraminal stenosis due to an accentuated decrease in disc space. Dimensions of the lumbar spinal canal: Vertebral lumbar stenosis is the narrowing espjnhal the vertebral canal, lateral recess, or neural foramen.
Surgical treatment of degenerative lumbar stenosis: comorbidities and complications
The patient generally presents pain in estebose legs, whether due to neurogenic claudication or irradiated pain. Services on Demand Journal. This study has some weak points, such as the absence of evaluation of the espnihal sagittal balance, and the presence of degenerative disease of the adjacent disc, which could influence the clinical result and consequently, the results of our study. Predictors of treatment choice in lumbar spinal stenosis. The most prevalent comorbidities were hypertension Furthermore, as described by Kats et al.
Todas as medidas foram realizadas por um dos autores, em conjunto com o mesmo radiologista.
Lumbar portion of the human spinal canal at different age periods. Surgical treatment of degenerative lumbar stenosis: Lumbar stenosis and systemic diseases: Therefore, we can say that there is no evidence of differences among age rage groups, but shows evidence of difference for sex being larger in males.
J Spinal Disord Tech. Table 1 Table 1. In all the patients operated on, pedicle screws and rods were used as the fixation system, to prevent instability caused by the main surgical procedure.
How to cite this article. Similarly, as demonstrated by other studies, patients with comorbidities present higher levels of complications as a result of surgical treatment for degenerative lumbar stenosis.
Late postoperative complications diagnosed after hospital discharge, during the outpatient visits were: How much medicine do spine surgeons need to know to better select and care for patients?
Predictive factors influencing clinical outcome with operative management of lumbar spinal stenosis. The distribution by sex and age group found in our study population is in keeping with what is described in various epidemiological and review studies in the literature on the subject.
However, when we analyzed patients with the presence of two or more comorbidities, the average age of this group was For L5, the p-value for the age range wasand the value for sex was 0, The average age of the patients with comorbidities was approximately 6 years older than that of the patients without comorbidities Geographic variations in the rates of elective total hip and knee arthroplasties among Medicare beneficiaries in the United States.
Applied Multivariate Statistical Analysis. Furthermore, obesity, mood disorders, smoking, and assessments of expectations and satisfaction could have been included in our evaluation, providing more data on the patient’s response to the treatment used.
Type of complication Total no.