Jensen Rikke Krüger, Andresen Andreas, Brøgger Helle Algren, Hartvigsen Jan, Søndergaard Jens, Schiøttz-Christensen Berit
Ugeskr Laeger. 2019 Feb 25;181(9).
Lumbar spinal stenosis is a clinical diagnosis of pain in the buttocks or lower extremities, with or without back pain. Symptoms increase with walking, and patients find relief when sitting or flexing the spine. Clinical care and research are complicated by the heterogeneity of the condition and high rates of anatomic stenosis on imaging studies in older people, who are completely asymptomatic. In Denmark, most patients with mild to moderate symptoms are treated in primary care. Patients with severe disability and no effect of non-surgical treatment may need referral to secondary care and surgery.
腰椎管狭窄症是一种临床诊断，表现为臀部或下肢疼痛，可伴有或不伴有背痛。症状在行走时加重，患者在坐下或脊柱前屈时症状缓解。由于病情的异质性以及在影像学研究中老年人解剖学狭窄的高发生率（而这些老年人完全无症状），临床护理和研究变得复杂。在丹麦，大多数症状轻至中度的患者在初级保健机构接受治疗。严重残疾且非手术治疗无效的患者可能需要转诊至二级保健机构并接受手术。
