Lumbar Spinal Stenosis: Pathophysiology and Treatment Principle: A Narrative Review
Byung Ho Lee, Seong-Hwan Moon, Kyung‐Soo Suk, Hak‐Sun Kim, Jae‐Ho Yang, Hwan‐Mo Lee
Abstract
Patients with lumbar spinal stenosis may exhibit symptoms such as back pain, radiating pain, and neurogenic claudication. Although long-term outcome of treatments manifests similar results for both nonsurgical and surgical treatments, positive effects such as short-term improvement in symptoms and decreased fall risk may be expected with surgery. Surgical treatment is basically decompression, and a combination of treatments can be added depending on the degree of decompression and the accompanying instability. Recently, minimally invasive surgery has been found to result in excellent outcomes in the treatment of lumbar spinal stenosis. Therefore, better treatment effects can be anticipated with an approach aimed at understanding the overall pathophysiology and treatment methods of lumbar spinal stenosis.