Sheehan J M, Shaffrey C I, Jane J A
Department of Neurosurgery, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
Clin Orthop Relat Res. 2001 Mar(384):61-74.
Degenerative lumbar stenosis is a complex entity caused by predictable patterns of degenerative pathoanatomy. Patients with spinal stenosis are treated by orthopaedic surgeons and neurosurgeons, who often have slightly different ideas regarding treatment strategies. However, data exist to support several recommendations, regarding fusion with or without instrumentation, surgical versus conservative treatment, and limitation of procedures to symptomatic levels. In the current study, the typical patterns of degenerative disease and surgical treatment and a view of the neurosurgical perspective of the treatment of patients with lumbar stenosis are presented.
退行性腰椎管狭窄症是一种由可预测的退行性病理解剖模式引起的复杂病症。脊柱管狭窄症患者由骨科医生和神经外科医生进行治疗，他们在治疗策略方面往往有略有不同的观点。然而，现有数据支持关于融合术（有无内固定）、手术治疗与保守治疗以及将手术操作局限于症状明显节段的多项建议。在本研究中，呈现了退行性疾病的典型模式、手术治疗以及从神经外科角度对腰椎管狭窄症患者治疗的看法。
