Chen Andrew L, Spivak Jeffrey M
Department of Orthopedic Surgery, NYU-Hospital for Joint Diseases, New York, NY, 10003, USA.
Phys Sportsmed. 2003 Aug;31(8):25-34. doi: 10.3810/psm.2003.08.454.
Degenerative lumbar spinal stenosis commonly disables and functionally limits the aging population. Degenerative changes may constrict the spinal canal, lateral recesses, and neural foramina, compressing the neural elements. Clinicians can make an earlier, more accurate diagnosis by using advanced imaging techniques. Nonoperative management is the mainstay of treatment, although surgery is indicated in patients who have progressive neurologic decline or when nonoperative measures have failed to adequately address symptoms.
退行性腰椎管狭窄症通常会使老年人群致残并在功能上限制他们的活动。退行性改变可能会使椎管、侧隐窝和神经孔变窄，压迫神经结构。临床医生可以通过使用先进的成像技术做出更早、更准确的诊断。非手术治疗是主要的治疗方法，不过对于有进行性神经功能衰退的患者或非手术措施未能充分缓解症状的患者，则需进行手术治疗。
