The space through which the spinal cord and nerve roots pass narrows, causing this condition. The compression can originate in the lower back or neck, resulting in numerous symptoms. The location changes, but not the technique, to achieve quality of life: minimally invasive microsurgery (microlaminectomy or microlaminoforaminotomy).
Canal stenosis is the leading cause of spinal surgery in patients over 65 years of age, although young people can also suffer from it. It can have many causes, from traumatic to neoplastic, but the vast majority are usually degenerativeDue to causes arising from the latter, the articular facets of the spinal canal may increase in size (degeneration of the adjacent tissue), as well as the ligaments found in this area. As a result, they occupy part of the spinal canal. narrowing the space through which the spinal cord and nerve roots passIf this continues, they can become compressed and produce symptoms. There are cervical and lumbar spinal canal stenosis.
Causes and symptoms of lumbar and cervical stenosis
At Clínica Dr. Mosqueira, stenosis of the lumbar canal (lower back area) is treated, as well as may be associated with the appearance of one or more herniated discs, which further compresses the nerve roots; and those of the cervical canal (neck), where the entire spinal cord can even be compressed, causing damage to it. In this type of pathology, the site of origin and the condition vary, although the treatment process is usually the same. It is estimated that Eight out of ten patients aged 50 years or older suffer from lumbar pain., becoming one of the main causes of disability. Narrowings in the cervical area are less common among the population., but there are numerous cases.
If the compression of the nerve roots is prolonged over timeThe pain increases, becoming constant, and then symptoms appear. Its onset in this condition is usually gradual and progressive. In lumbar conditions, pain begins in the lower back and/or lumbosciatica, which spreads to the lower extremities: pain, tingling, and numbness in the legs when walking (intermittent claudication). In severe and prolonged cases, loss of strength is manifested..
Changing zones, The neck is usually the other part of the body affected.. Initially, the symptoms may increase in an ascending manner, producing pain in the same, in addition to Tingling, numbness, and/or loss of sensationAt this point, the upper extremities and legs are affected: numbness/weakness in the arms, legs, and hands, difficulty walking or maintaining balance, coordination problems, kidney problems, and incontinence; and, in severe cases, decreased strength.
Microsurgery acts when there is no conservative treatment
Surgical intervention is indicated in cases that do not respond to conservative treatment or in severe cases of spinal canal stenosis. This point is reached when The problem is not alleviated through ergonomic and postural hygiene recommendations., taking medications and/or practicing physical therapy (stretching, strengthening, conditioning and postural education). The surgery indicated in these cases depends on the characteristics of each patient, although a decompressive microlaminectomyWhere the surgical microscope and Dr. Mosqueira join forces to restore the quality of life.
What does this technique involve? A small incision of about three centimeters is made in the back, following the line of the spine, specifically in the area where the pain is located. This is done to remove part of a vertebra that is causing the compression of the nerves and thus release them. Alternatively, we can use the surgical procedure of microlaminoforaminotomy, releasing pressure on a nerve while widening the opening in the back where the nerve roots exit the spinal canal. Everything will depend on the level, location, and location of the narrowing of the spinal canal.
We can help you with your cervical or lumbar spinal stenosis. At Dr. Mosqueira Clinic, we make every effort to provide you with the necessary resources. We always strive to inform our patients and friends, and also to help them in any way possible. If you would like information about any medical matter or need a consultation with us, please do not hesitate to contact us at 951 00 66 38, we will be happy to assist you with whatever you need.
