Estenorraquis lumbar: ¿tratamiento médico, pequeña o gran cirugía? / Lumbar Estenorraquis: medical treatment, small or great surgery?

ABSTRACT

Lumbar spinal stenosis is a disease that is not always symptomatic, with increasing incidence on the population as it ages. Initial treatment must be conservative, based on medicine, physiokinesiotherapy, while compensating general illnesses. A second stage would include the use of steroid injections, as in the epidural or foraminal space, or in the facet joints. If these treatments were to fail, it is possible to realize surgical treatment, previously analizing the most suitable surgery for each patient, with laminectomy at the forefront. It is necessary to keep in mind that "minimally invasive surgery" is usually best. Arthrodesis must always be performed during surgery, which must to be realized in case of previous or intra operative instability, degenerative scoliosis, or flat back, while its use in degenerative espondilolisthesis is still in discussion.