Englund Jon
Aurora Sports Medicine Institute, 945 N. 12th Street, Milwaukee, WI 53213, USA.
Curr Sports Med Rep. 2007 Jan;6(1):50-5. doi: 10.1007/s11932-007-0012-0.
Lumbar spinal stenosis (LSS) is a narrowing of the spinal canal with cord or nerve root impingement resulting in radiculopathy or pseudoclaudication. It is a common diagnosis that is occurring with increased frequency in sports medicine clinics. Symptoms include radicular pain, numbness, tingling, and weakness. Peripheral vascular disease presents similarly and must be considered in the differential diagnosis. Imaging for LSS usually begins with plain radiographs, but often requires additional testing with MRI or CT myelography. There are currently limited controlled data regarding both conservative and surgical treatment of LSS. Most physicians agree that mild disease should be treated conservatively with medications, physical therapy, and epidural steroid injections. Severe disease appears to be best treated surgically; laminectomy continues to be the gold standard treatment.
腰椎管狭窄症（LSS）是指椎管狭窄并伴有脊髓或神经根受压，导致神经根病或假性间歇性跛行。这是一种常见的诊断，在运动医学诊所中出现的频率越来越高。症状包括神经根性疼痛、麻木、刺痛和无力。周围血管疾病表现相似，在鉴别诊断中必须予以考虑。LSS的影像学检查通常从普通X线片开始，但往往需要额外进行MRI或CT脊髓造影检查。目前，关于LSS保守治疗和手术治疗的对照数据有限。大多数医生认为，轻度疾病应采用药物、物理治疗和硬膜外类固醇注射进行保守治疗。严重疾病似乎最好通过手术治疗；椎板切除术仍然是金标准治疗方法。
