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Related Experiment Videos

Tandem Spinal Stenosis: A Systematic Review.

Samuel C Overley1, Jun S Kim, Brooke A Gogel

  • 1Department of Spine Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.

JBJS Reviews
|September 6, 2017
PubMed
Summary
This summary is machine-generated.

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Tandem spinal stenosis, narrowing in two spine regions, is common but often missed. Early identification and prioritized cervical treatment are key for managing this condition.

Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Radiology

Background:

  • Tandem spinal stenosis involves narrowing in at least two spinal regions, typically cervical and lumbar.
  • It can be asymptomatic or cause severe myelopathy and lower extremity symptoms.
  • This condition complicates surgical planning for spinal procedures, lacking a clear treatment consensus.

Purpose of the Study:

  • To review the literature on tandem spinal stenosis.
  • To understand its prevalence, presentation, and management strategies.
  • To highlight the importance of identifying this condition in surgical decision-making.

Main Methods:

  • Conducted a MEDLINE, Cochrane, and Embase literature search (1980-2015).
  • Used keywords: "tandem spinal stenosis," "cervical stenosis AND lumbar stenosis," "concomitant spinal stenosis."

Related Experiment Videos

  • Included adult studies of cervical and lumbar tandem spinal stenosis with ≥5 patients.

    • Main Results:

    • Identified 17 relevant articles from 234 initial results.
    • Included 2 cadaveric studies, 5 radiographic, and 10 symptomatic tandem spinal stenosis studies.
    • Tandem spinal stenosis affects up to 60% of spinal stenosis patients.

    Conclusions:

    • Tandem spinal stenosis is common and frequently overlooked, potentially leading to severe complications.
    • Prioritizing identification and addressing cervical myelopathy are crucial first steps in management.
    • Both staged and simultaneous surgical approaches are effective, with no single preferred intervention.