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Updated: May 23, 2026
05:17
Percutaneous Endoscopic Unilateral-Approach Bilateral Decompression for Lumbar Spinal Stenosis
Published on: February 9, 2024
[Lumbar spinal stenosis: clinical course, pathophysiology and treatment]
S Genevay1, P Chevallier-Ruggeri, A Faundez
1Service de rhumatologie, Hôpital Beau-Séjour, HUG, 1211 Genève 14. stephane.genevay@hcuge.ch
Revue Medicale Suisse
|March 30, 2012
Summary
Lumbar spinal stenosis, a radiological finding, often presents as neurogenic intermittent claudication. Diagnosis is primarily clinical, with treatment varying from empirical approaches to surgery in severe, disabling cases.
Area of Science:
- Neurology
- Radiology
- Orthopedics
Context:
- Lumbar spinal stenosis (LSS) is a radiological finding that can manifest clinically as neurogenic intermittent claudication.
- Diagnosis of LSS is predominantly clinical, relying on specific patient criteria.
- Limited high-quality studies necessitate an empirical approach to management.
Purpose:
- To outline diagnostic criteria for lumbar spinal stenosis.
- To review current treatment options for LSS.
- To discuss surgical considerations for severe, disabling cases.
Summary:
- The diagnosis of lumbar spinal stenosis (LSS) is primarily clinical, despite being a radiological description.
- Treatment strategies range from empirical management to surgical intervention for severe, disabling symptoms.
- Patient expectations must be managed to avoid treatment failure, particularly with surgical options.
Impact:
- Provides clinicians with diagnostic criteria for LSS.
- Offers a review of therapeutic interventions for LSS.
- Guides decision-making regarding surgical options for refractory LSS cases.
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