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Lumbar canal stenosis.

A S Chahal, Y J Mundkur, H K Sancheti

    Paraplegia
    |October 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Lumbar canal stenosis, a common cause of back pain, was studied in Indian adults. Degenerative changes were frequent, and surgical decompression provided lasting relief for patients.

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    Area of Science:

    • Orthopedics
    • Neurosurgery
    • Radiology

    Background:

    • Lumbar canal stenosis is a recognized cause of low backache.
    • Degenerative changes are frequently implicated in its pathogenesis.

    Purpose of the Study:

    • To determine the incidence of lumbar canal stenosis in Indian adults.
    • To evaluate the effectiveness of surgical decompression for relief of symptoms.

    Main Methods:

    • Diagnosis based on clinical, radiological, and myelographic findings.
    • Surgical intervention involved laminectomy and excision of thickened ligamentum flavum or osseous elements.
    • Study period: July 1, 1978, to June 30, 1981.

    Main Results:

    • The majority of affected adults were in their fourth decade.

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  • Degenerative arthritis of apophyseal joints and thickened ligamentum flavum were common findings.
  • Congenital stenosis cases were infrequent.
  • Pure relative stenosis was more common than pure absolute stenosis.

    • Conclusions:

    • Surgical decompression offers lasting relief from backache and intermittent claudication in lumbar canal stenosis.
    • Degenerative factors are the primary contributors to lumbar canal stenosis in this population.