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ISSN: 2329-9096

International Journal of Physical Medicine & Rehabilitation
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Mini Review

Biomechanics and Management of Lumbar Spinal Stenosis Neurodegenerative Disease: Mini-Review

Andrew Montoure1, William Curry1,2, Ha S Nguyen1, Saman Shabani1, Brian D Stemper1,2 and Ninh B Doan1*

1Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, 53226, USA

2Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin, 53226, USA

*Corresponding Author:
Ninh Doan
Medical College of Wisconsin
Department of Neurosurgery
9200 W Wisconsin, Milwaukee
WI 53226, USA
Tel: 1414-955-8296
E-mail: [email protected]

Received date: July 08, 2016; Accepted date: August 14, 2016; Published date: August 22, 2016

Citation: Montoure A, Curry W, Nguyen HS, Shabani S, Stemper BD, et al. (2016) Biomechanics and Management of Lumbar Spinal Stenosis Neurodegenerative Disease: Mini-Review. Int J Phys Med Rehabil 4:360. doi: 10.4172/2329-9096.1000360

Copyright: © 2016 Montoure A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Lumbar stenosis is an increasingly common pathology, which causes significant symptoms affecting quality of life, especially in the aging population. The mainstays of treatment employ both conservative and surgical management. Should surgery be required decompression of the lumbar spine via laminectomy or laminotomy has been shown to be effective. The addition of fusion may only benefit in cases with spinal instability. The treatment of lumbar stenosis should include a multifactorial and multidisciplinary approach. Lumbar fusion may lead to an adjacent segment disease as a result of endplate failure by promoting a lumbar alignment with parallel endplates. Upright MRI could be a useful adjunct objective diagnostic option in the future to differentiate symptomatic from asymptomatic patients by evaluating their foraminal geometry.

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