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Updated: Jan 18, 2026

Full-Endoscopic Interlaminar Approach for Decompression of Lateral Recess Stenosis
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[Estenosis del canal raquídeo: ¿una enfermedad generalizada o simplemente un diagnóstico radiológico?]

Julia Luckow1,2, Klaus-Dieter Schaser3,4, Rainer Sabatowski5

  • 1UniversitätsCentrum für Orthopädie, Unfall- & Plastische Chirurgie, Universitätsklinikum Carl Gustav Carus Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland. julia.luckow@ukdd.de.

Schmerz (Berlin, Germany)
|January 16, 2026
PubMed

La estenosis del canal espinal lumbar afecta principalmente a personas mayores de 65 años y suele asociarse con síntomas típicos, como la claudicación espinal. Aparte de causas congénitas poco frecuentes, generalmente se desarrolla de forma secundaria debido a cambios relacionados con la edad, como la protrusión discal, la degeneración de las articulaciones facetarias y la hipertrofia ligamentaria. Además de los síntomas clínicos típicos, resultan decisivas las imágenes de rayos X en bipedestación en dos planos y la resonancia magnética (RM). Los pacientes sin déficits neurológicos relevantes deben someterse primordialmente a un tratamiento conservador. En casos de dolor que no pueda aliviarse mediante enfoques conservadores, déficits neurológicos y tratamiento conservador ineficaz, pueden justificarse las indicaciones para el tratamiento quirúrgico. Siempre que sea posible, se debe procurar una descompresión mínimamente invasiva. Una fusión puede resultar necesaria en presencia de una inestabilidad clínicamente relevante, estenosis o desalineación.

Palabras clave:
Espondilodesis anteroposteriorDescompresiónEstenosis del canal espinal lumbarLumbalgia específicaClaudicación espinal

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