علاج المرض التنكسي في العمود الفقري القطني مع ضغط مؤكد بالرنين المغناطيسي على جذر العصب أو ذيل الفرس وأعراض جذرية في الأطراف السفلية

References

DOI: 10.3238/arztebl.m2025.0056

• Are there radicular symptoms and signs? Do these correspond to the MRI findings?
• Stenosis causing compression of a nerve root or of the dural sac (cauda equina), as confirmed by MRI, with relevant clinical manifestations and without any significant degree of motion-induced back pain can be treated with decompression of the spinal canal and the neuroforamina.
• stability-preserving decompression or foraminotomy
• Decompression has been shown to yield better long-term results than conservative treatment for lumbar spinal stenosis.
• Malmivaara et al. likewise showed improvements in the ODI score and in back and leg pain (on a 0–20 scale): the mean differences on follow-up at 2 years were, for back pain, 2.1 [1.0; 3.3], and for leg pain, 1.5 [0.3; 2.8].