Document Detail


Treatment approach in tandem (concurrent) cervical and lumbar spinal stenosis.
MedLine Citation:
PMID:  17515237     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Spondylotic degeneration can manifest as tandem (concurrent) cervical and lumbar spinal stenosis. The primary manifestations include neurogenic claudication, gait disturbance and a mixture of findings of myelopathy and polyradiculopathy in both the upper and lower extremities. The purpose of this retrospective study was to report the existence and management of tandem (concurrent) cervical and lumbar spinal stenosis. Between 1998 and 2004, 8 patients (6 women and 2 men) were diagnosed with tandem spinal stenosis in a series of 230 patients who underwent surgery for spinal stenosis (3.4%). Three patients received cervical surgery first and 5 patients lumbar surgery first. The Japanese Orthopaedic Association Score of all patients improved from an average of 8.1 preoperatively to an average of 11.8 points at discharge and maintained an average of 12.7 points at final follow-up. Oswestry Disability Score improved from mean 58.1 to 29 at discharge and 19.3 at latest follow-up. All the patients had excellent or good results and none deteriorated neurologically. Although tandem spinal stenosis occurred relatively infrequently, we concluded that its possible presence should not be overlooked. The treatment plan must be designed according to the chief complaints and symptoms of the patient.
Authors:
Mehmet Aydogan; Cagatay Ozturk; Cuneyt Mirzanli; Omer Karatoprak; Mehmet Tezer; Azmi Hamzaoglu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta orthopaedica Belgica     Volume:  73     ISSN:  0001-6462     ISO Abbreviation:  Acta Orthop Belg     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-05-22     Completed Date:  2007-07-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985165R     Medline TA:  Acta Orthop Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  234-7     Citation Subset:  IM    
Affiliation:
Istanbul Spine Center, Florence Nightingale Hospital, Istanbul, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Cervical Vertebrae*
Decompression, Surgical
Female
Humans
Lumbar Vertebrae*
Male
Middle Aged
Retrospective Studies
Spinal Stenosis / diagnosis,  radiography,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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