eMedicine Specialties > Radiology > Brain/Spine

Spinal Stenosis: Follow-up

Author: Lennard A Nadalo, MD, Clinical Professor, Department of Radiology, University of Texas Southwestern Medical School; Consulting Staff, Envision Imaging of Allen and Radiological Consultants Association
Coauthor(s): James A Moody, MD, Chief, Neurosurgery Section, Department of Surgery, Methodist Medical Center
Contributor Information and Disclosures

Updated: Mar 20, 2007

Intervention

Unlike acute lumbar disc herniation, spinal stenosis is not typically treated using interventional radiologic techniques. Pain management, including facet injections, may provide temporary relief in patients; however, biopsy of metastatic spinal disease is performed easily using CT guidance. Spinal stenosis associated with compression fractures has been successfully treated using percutaneous vertebroplasty.

 


More on Spinal Stenosis

Overview: Spinal Stenosis
Imaging: Spinal Stenosis
Follow-up: Spinal Stenosis
Multimedia: Spinal Stenosis
References

References

  1. Amundsen T, Weber H, Nordal HJ, et al. Lumbar spinal stenosis: conservative or surgical management?: A prospective 10-year study. Spine. Jun 1 2000;25(11):1424-35; discussion 1435-6. [Medline].

  2. Boockvar JA, Durham SR, Sun PP. Cervical spinal stenosis and sports-related cervical cord neurapraxia inchildren. Spine. 2001;Dec 15;26(24):2709-13. [Medline].

  3. Bosch A, Stauffer ES, Nickel VL. Incomplete traumatic quadriplegia. A ten-year review. JAMA. Apr 19 1971;216(3):473-8. [Medline].

  4. Epstein NE. Circumferential surgery for the management of cervical ossification of the posterior longitudinal ligament. J Spinal Disord. Jun 1998;11(3):200-7. [Medline].

  5. Frazier DD, Lipson SJ, Fossel AH, Katz JN. Associations between spinal deformity and outcomes after decompression for spinal stenosis. Spine. Sep 1 1997;22(17):2025-9. [Medline].

  6. Grane P. The postoperative lumbar spine. A radiological investigation of the lumbar spine after discectomy using MR imaging and CT. Acta Radiol Suppl. 1998;414:1-23. [Medline].

  7. Greenspan SL, Mathews VP. Pearls and pitfalls in clinical neuroradiology. Semin Neurol. 1998;18(2):221-36. [Medline].

  8. Haig AJ, Tong HC, Yamakawa KS. Predictors of pain and function in persons with spinal stenosis, low back pain, and no back pain. Spine. 2006;Dec 1;31(25):2950-7.

  9. Herno A, Partanen K, Talaslahti T, et al. Long-term clinical and magnetic resonance imaging follow-up assessment of patients with lumbar spinal stenosis after laminectomy. Spine. Aug 1 1999;24(15):1533-7. [Medline].

  10. Hurri H, Slatis P, Soini J, et al. Lumbar spinal stenosis: assessment of long-term outcome 12 years after operative and conservative treatment. J Spinal Disord. Apr 1998;11(2):110-5. [Medline].

  11. Ikuta K, Tono O, Tanaka T. Evaluation of postoperative spinal epidural hematoma after microendoscopic posterior decompression for lumbar spinal stenosis: a clinical and magnetic resonance imaging study. J Neurosurg Spine. Nov 2006;5(5):404-9.

  12. Kalbarczyk A, Lukes A, Seiler RW. Surgical treatment of lumbar spinal stenosis in the elderly. Acta Neurochir (Wien). 1998;140(7):637-41. [Medline].

  13. Lee JW, Kim SH, Lee IS. Therapeutic effect and outcome predictors of sciatica treated using transforaminal epidural steroid injection. AJR Am J Roentgenol. Dec 2006;187(6):1427-31.

  14. Lee KH, Chung TS, Jeon TJ. Application of spatial modulation of magnetization to cervical spinal stenosis for evaluation of the hydrodynamic changes occurring in cerebrospinal fluid. Korean J Radiol. Jan-Mar 2000;1(1):11-8. [Medline].

  15. Malmivaara A, Slätis P, Heliövaara M, Sainio P, Kinnunen H, Kankare J. Surgical or nonoperative treatment for lumbar spinal stenosis? A randomized controlled trial. Spine. Jan 1 2007;32(1):1-8.

  16. Malter AD, McNeney B, Loeser JD, Deyo RA. 5-year reoperation rates after different types of lumbar spine surgery. Spine. Apr 1 1998;23(7):814-20. [Medline].

  17. Radu AS, Menkes CJ. Update on lumbar spinal stenosis. Retrospective study of 62 patients and review of the literature. Rev Rhum Engl Ed. May 1998;65(5):337-45. [Medline].

  18. Rudisch A, Kremser C, Peer S, et al. Metallic artifacts in magnetic resonance imaging of patients with spinal fusion. A comparison of implant materials and imaging sequences. Spine. Mar 15 1998;23(6):692-9. [Medline].

  19. Vitarbo E, Sheth RN, Levi AD. Open-door expansile cervical laminoplasty. Neurosurgery. 60(1 Supp1 1):S154-9.

  20. Wimmer C, Ogon M, Sterzinger W, et al. Conservative treatment of tuberculous spondylitis: a long-term follow- up study. J Spinal Disord. Oct 1997;10(5):417-9. [Medline].

Further Reading

Keywords

spondylosis

Contributor Information and Disclosures

Author

Lennard A Nadalo, MD, Clinical Professor, Department of Radiology, University of Texas Southwestern Medical School; Consulting Staff, Envision Imaging of Allen and Radiological Consultants Association
Lennard A Nadalo, MD is a member of the following medical societies: American College of Radiology, American Society of Neuroradiology, American Society of Pediatric Neuroradiology, Radiological Society of North America, and Texas Radiological Society
Disclosure: Nothing to disclose.

Coauthor(s)

James A Moody, MD, Chief, Neurosurgery Section, Department of Surgery, Methodist Medical Center
James A Moody, MD is a member of the following medical societies: American Association of Neurological Surgeons, American Medical Association, and Texas Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Lucien M Levy, MD, PhD, Director of Neuroradiology, Professor of Radiology, Department of Radiology, George Washington University Medical Center
Lucien M Levy, MD, PhD is a member of the following medical societies: American Cancer Society, American College of Radiology, American Heart Association, American Medical Association, American Roentgen Ray Society, American Society of Neuroradiology, and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

C Douglas Phillips, MD, Professor, Departments of Radiology, Neurosurgery, and Otolaryngology, University of Virginia Health Sciences Center
C Douglas Phillips, MD is a member of the following medical societies: American College of Radiology, American Medical Association, American Society of Head and Neck Radiology, American Society of Neuroradiology, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

James G Smirniotopoulos, MD, Professor of Radiology, Neurology, and Biomedical Informatics, Chairman, Department of Radiology and Radiological Sciences, Uniformed Services University of the Health Sciences
James G Smirniotopoulos, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, American Society of Head and Neck Radiology, American Society of Neuroradiology, American Society of Pediatric Neuroradiology, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.