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FEATURES OF THE COURSE OF LATERAL STENOSIS OF THE LUMBAR
SEGMENT OF THE POSONEAL CANAL
Mardonov J.
Juraev U.
Bukhara State Medical Institute
https://doi.org/10.5281/zenodo.15123442
Relevance.
Numerous works devoted to lumbar spinal stenosis reflect its importance
among common chronic diseases.
According to K. Otani et al., the overall incidence of symptomatic lumbar spinal stenosis
in the population is about 5% among patients under 50 years of age and about 10-15% among
patients aged 50-70 years. By anatomical localization, spinal stenosis is divided into central
(20%), lateral (10%) and mixed/combined (central and lateral) - 70%. The presence or
absence of lateral stenosis must be taken into account when performing microsurgical
intervention on the spine (removal of a herniated disc or intralaminar decompression for
central stenosis of the spinal canal). First of all, this concerns elderly patients, in whom lateral
stenosis of the spinal canal occurs significantly more often than in young patients. According
to various authors, persistent pain after microdiscectomy in 29-58% of cases is due to lateral
stenosis of the spinal canal that was not eliminated during the operation. Therefore, today the
diagnosis of lateral stenosis of the spinal canal is a very pressing problem.
Purpose of the study.
study of the course of lateral stenosis of the lumbar spinal canal
Material and research methods.
This group consisted of 18 patients who underwent
surgery and who had clinical manifestations of lateral stenosis in the form of root
compression in the lateral root pocket in combination with pain in the lumbar spine.
All patients underwent a comprehensive examination, including radiological
examinations, and also underwent MSCT.
Results.
Summarizing the obtained data, it can be confidently stated that 83.9% of
patients had predominantly symptoms of root compression. In 16.1% of cases, patients had
predominantly clinical symptoms of vertebral pain syndrome due to instability of the spinal
motion segment, which is confirmed by the data of functional lumbar spondylograms. Lateral
stenosis of the spinal canal is most often caused by a combination of compressing factors
(47%), which must be taken into account when planning the tactics and scope of surgical
treatment.
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