If the degenerative process (see Spinal degeneration) progresses, the area in spinal canal required for spinal cord and nerve roots reduces

 

 

Causes of this contraction;

 

thickening of ligaments connecting the two vertebrae together

decreasing of disc distance

thickening of intervertebral joints

formation of bone spurs around the vertebrae

This condition causes compression of the nerve roots and the vessels passing through the spinal canal.

 

Presenting complaints in spinal canal stenosis;

 

increasing leg pain while walking and standing for a long time

gone while sitting or leaning forward

leg pain on both legs. Pain on one side may be more.

 

Similar pain may also occur due to leg vessel problems or calcification of the hip joint. It is recommended to consult a spine surgery specialist for the separation of these diseases.

 

MRI is the highest priority radiological examination in spinal stenosis. Computed tomography may be required in cases where MRI cannot be fılmed.

 

NON-SURGICAL TREATMENT OPTIONS

painkillers and muscle relaxants

exercise and physical therapy

weight control

steroid and / or painkiller injections into the spinal canal

Selective injections to nerve roots

 

Surgical treatment of spinal canal stenosis is very effective and beneficial.

 

When do you need surgical treatment?

 

Despite the non-operative treatment, the complaints do not stop

muscle weakness in the legs

inability to control bladder and bowels

complaints related to spinal balance deterioration

 

Surgical techniques include;

 

removal of bone structure, which is the roof of the spinal canal (laminectomy)

relieving pressure from bone spurs, ligaments, and disc structures (eg, herniated disc) in order to increase the space for nerve roots

If removal of these structures will deteriorate the spinal balance it may require fusion procedure with instrument (platinum).