Neurol. praxi. 2023;24(1):19-25 | DOI: 10.36290/neu.2022.040

Lumbar spinal stenosis - clinical manifestation, diagnosis and therapeutic strategy

prof. MUDr. Blanka Adamová, Ph.D.^{1, 2}, MUDr. Peter Krkoška^{1, 2}

¹ Neurologická klinika Fakultní nemocnice Brno

² Lékařská fakulta Masarykovy univerzity Brno

Lumbar spinal stenosis (LSS) is a clinical-radiological syndrome, a recent definition covers both the clinical manifestation and the anatomic abnormalities (narrowing of the spinal canal). The symptoms and signs usually begin in the 6th decade. The LSS contributes to impaired mobility in older age, but it is often underdiagnosed. Clinical manifestation includes neurogenic claudication, radicular syndrome, cauda equina syndrome, and low back pain is often present. Diagnosis and therapy of patients with LSS are multidisciplinary issues. This review focuses on updating knowledge of LSS clinical manifestation, diagnosis, and therapeutic strategy.

Keywords: lumbar spinal stenosis, neurogenic claudication, back pain, diagnosis, magnetic resonance imaging, surgery, nonsurgical treatment, rehabilitation.

Received: June 14, 2022; Revised: June 29, 2022; Accepted: July 4, 2022; Prepublished online: July 4, 2022; Published: March 3, 2023  Show citation