KEGG   DISEASE: Spinal stenosisHelp
Entry
H01711                      Disease                                

Name
Spinal stenosis
Description
Spinal stenosis is an abnormal narrowing of the spinal canal that mainly occurs in the cervical and lumbar regions. Cervical stenosis presents with axial neck pain, radiculopathy, myelopathy, or a combination of these presentations. Axial pain refers to pain that occurs along the spinal column, while radiculopathy refers to complaints in a dermatomal or myotomal distribution often occurring in the arms. Patients may complain of numbness, pain or loss of function. Myelopathy refers to a cluster of complaints and findings due to intrinsic damage to the spinal cord itself. Patients might report numbness, coordination and gait issues, grip weakness and bowel and bladder complaint. Lumbar spinal stenosis is a major cause of pain and functional disability for the elderly. Neurogenic claudication symptoms are a hallmark of lumbar spinal stenosis, where patients develop low back or leg pain when walking or standing that is relieved by sitting or lumbar flexion. The treatment of lumbar spinal stenosis generally begins with conservative management such as physical therapy, home exercise programs, and oral analgesics. Once these therapies fail, patients commonly move forward with interventional pain treatment options such as epidural steroid injections (ESIs), nerve block, or surgery as the next step. Coexisting lumbar and cervical stenosis (tandem spinal stenosis) is an infrequent presentation with mixed presentation of upper motor neuron and lower motor neuron signs. But very few reports of tandem spinal stenosis are available.
Category
Musculoskeletal disease
Brite
Human diseases [BR:br08402]
 Musculoskeletal diseases
  Skeletal diseases
   H01711  Spinal stenosis
Human diseases in ICD-11 classification [BR:br08403]
 15 Diseases of the musculoskeletal system or connective tissue
  Conditions associated with the spine
   Degenerative condition of spine
    FA82  Spinal stenosis
     H01711  Spinal stenosis
BRITE hierarchy
Other DBs
ICD-11: FA82
ICD-10: M48.0
MeSH: D013130
OMIM: 152550
Reference
  Authors
Todd AG
  Title
Cervical spine: degenerative conditions.
  Journal
Curr Rev Musculoskelet Med 4:168-74 (2011)
DOI:10.1007/s12178-011-9099-2
Reference
  Authors
Benyamin RM, Staats PS, MiDAS Encore I
  Title
MILD(R) Is an Effective Treatment for Lumbar Spinal Stenosis with Neurogenic Claudication: MiDAS ENCORE Randomized Controlled Trial.
  Journal
Pain Physician 19:229-42 (2016)
Reference
  Authors
Krishnan A, Dave BR, Kambar AK, Ram H
  Title
Coexisting lumbar and cervical stenosis (tandem spinal stenosis): an infrequent presentation. Retrospective analysis of single-stage surgery (53 cases).
  Journal
Eur Spine J 23:64-73 (2014)
DOI:10.1007/s00586-013-2868-4
Reference
PMID:20428988 (drug)
  Authors
Tran DQ, Duong S, Finlayson RJ
  Title
Lumbar spinal stenosis: a brief review of the nonsurgical management.
  Journal
Can J Anaesth 57:694-703 (2010)
DOI:10.1007/s12630-010-9315-3

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