Degenerative lumbar spinal stenosis imaging and non-surgical treatment overview.docVIP

 PAGE \* MERGEFORMAT 22 Degenerative lumbar spinal stenosis imaging and non-surgical treatment overview [Keywords:] lumbar spinal stenosis Lumbar spinal stenosis is a common cause of low back pain, the incidence rate after lumbar disc herniation, representing the first two spinal disease. Clinically divided according to the general cause of developmental lumbar spinal stenosis (lumbar spinal stenosis, LSS) and degenerative lumbar spinal stenosis (degenerative lumbar spinal stenosis, DLSS) two, LSS to congenital hypertrophic lamina, pedicle bone shortening and is characterized by central canal stenosis, diagnosis easier to clear, usually treated by surgery . DLSS more a result of the corresponding structure composed of lumbar spinal degeneration, bulging or protruding intervertebral disc, facet hyperplasia cohesive and yellow ligament hypertrophy as a result of lumbar spinal canal, nerve root canal, lateral recess or foraminal abnormal shape and volume so that a single plane or multiple plane lumbar spinal canal one or more luminal diameter stenosis, causing nerve root compression or cauda equina nerves and blood vessels to stimulate the emergence of a range of symptoms of inflammation. It is a clinical syndrome, clinical complexity , not typical, the diagnosis and localization difficulties, often require more imaging data [1,2]. treatment can be taken to surgery, can also choose non-surgical treatment. now DLSS imaging profile of non-surgical treatment reviewed. 1 Imaging 1.1 X-ray and CT DLSS more common in older patients, often accompanied by lumbar scoliosis, kyphosis, or degenerative lumbar instability and so on. Is lateral lumbar spine X ray films, oblique film, lateral and flexion-bit power strips, can be observed in patients with intervertebral height , bone degeneration, lumbar scoliosis and kyphosis, with or without obvious mechanical imbalance, such as segmental instability and the degree of stenosis, and patients were followed up as an