AI Article Synopsis
- Lumbar spinal stenosis (LSS) is a common degenerative condition but linking symptoms to imaging results is difficult due to the high occurrence of LSS in older adults and many cases being asymptomatic.
- *The presence of similar conditions can complicate diagnosis, impacting treatment outcomes, especially in surgically treated patients.
- *Recent studies suggest that surgical decompression alone might be as effective as more invasive procedures, particularly in cases involving degenerative spondylolisthesis.
Article Abstract
Lumbar spinal stenosis (LSS) represents a frequent degenerative condition, however, striking a clear correlation between typical symptoms and imaging features remains a challenge. Reasons are a high prevalence of radiological LSS in the older population, a considerable percentage of asymptomatic LSS and the existence of differential diagnoses with similar symptomatology. This discrepancy also affects the outcomes - especially of surgically treated patients with LSS. When considering surgical decompression of LSS, the decision with regards to additive instrumentation and/or fusion remains a controversial point of discussion, in particular at the presence of degenerative spondylolisthesis. Recent, well-designed studies, however, clearly point towards a non-inferiority of decompression alone as opposed to the more invasive strategies.
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| http://dx.doi.org/10.1007/s00132-022-04297-8 | DOI Listing |
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