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Lumbar Stenosis Causes (Reasons)

Some people may be born with a small congenital spinal canal. Or, some situations may cause the area of the duct to decrease.


These Situations Are:

  • Bone enlargement, especially the facet joint and the ends of the spine can cause protrusions and narrow the channel.
  • The normal disc structure, which loses its water and degenerates as a result of aging in herniated discs, begins to bulge outward over time. Sometimes the disc material that comes out due to pressure can press on the spinal cord or nerves.
  • Thickened Ligaments; Ligaments, which are structures that hold bones together, can thicken and harden over time. This situation can squeeze our channel under pressure.
  • Vehicle accidents, spinal injuries, or other trauma can narrow the spinal canal by causing a fracture or union of the spine. In such a case, surgery is urgently required and is one of the rare cases where pressure relief is required.

Waist Canal Narrowing Complaints

Unlike lumbar hernia, which can occur suddenly, lumbar stenosis is a slowly developing degenerative condition that takes many years to develop. Therefore, the onset of symptoms is quite insidious and cannot be detected until the stenosis is more advanced as it develops.

Generally, complaints begin after the age of 50 and are more common in women. The classic symptoms are lower back and leg pain that worsens with standing and walking and improves with sitting and/or lying down.

Patients will often notice that their symptoms are reduced by leaning over a shopping cart or leaning forward while standing. This bending allows the spinal canal to open further and relieve the stenosis.

Diagnosis of Lumbar Stenosis (Lumbar Stenosis)

If you have lower back and leg pain that increases with walking, if the complaints start after resting and walking again, and these complaints increase with each passing month, it is necessary to suspect this disease and have X-ray, MRI and, depending on the situation, Tomography.

Lumbar Stenosis
Waist Canal Narrowing Treatment

If you can manage with increased back and leg pain when you walk, that is, if your complaints start when you walk for 1 hour or a few kilometers, then there is no surgical condition. In these cases, you can improve with physical therapy, medical therapy and low back pain treatment.

If you can't manage with your back and leg pain that increases with walking, if you have constant pain, if you don't benefit from medical treatment, if you started to lean forward, if you have urinary and stool problems, if your walking distance is very short, you should definitely have surgery.

If the decision to operate is made, two types of surgery can be performed, usually with and without screws.

Regardless of the surgical method to be used, the important thing is to remove the bone, disc or ligament structures that cause the congestion and to relieve the nerve completely.

In screwless surgeries, it is generally preferred if there is 1 or 2 levels of compression, if the joint tissue does not press on the nerves significantly, if there is no mobility in the spine, that is, if it is stable. However, if it is necessary to remove joint tissue in a 3rd level or more advanced lumbar slippage, screw surgery is preferred in order to prevent the occurrence or progression of lumbar slippage in the future.

Screw surgeries in lumbar canal narrowing are technical operations and are necessary for the patient's advanced life and to prevent complications such as instability for the aging spine, such as bending and slipping.

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