Hopp til innhold
NHI.no
Annonse

Spinal stenose: Diagnosen

Innhold i artikkelen

Spinal stenoseSpinal stenose

Diagnosen bygger på sykehistorien din, og de funn legen gjør. Ved den vanlige kroppsundersøkelsen finner legen sjelden noe unormalt i rygg eller ekstremiteter. Det påvises sjelden tegn til nerveskader. Noen utvikler plager som minner om røykeben, men uten å ha tegn til dårlig blodtilførsel (som er årsaken til røykebein).

Annonse

Dersom plagene er så uttalte at det vurderes å kunne være behov for behandling, er det aktuelt å utrede med MR eller CT for å bedømme plassforholdene i ryggkanalen (spinalkanalen) og rundt nerverøttene som kommer ut fra ryggmargen.

Tilstanden har mye til felles med åreforkalkning av blodårene i bena. Begge tilstandene vil ofte gi smerter i bena ved gange, smerter som tvinger deg til å stoppe opp når du er ute og går.

Vil du vite mer

Dette dokumentet er basert på det profesjonelle dokumentet Spinal stenose . Referanselisten for dette dokumentet vises nedenfor

  1. Bagley C, MacAllister M, Dosselman L, et al. Current concepts and recent advances in understanding and managing lumbar spine stenosis. F1000Res. 2019 Jan 31;8:F1000 Faculty Rev-137. PMID: 30774933. PubMed
  2. Snyder DL, Doggett D, Turkelson C. Treatment of degenerative lumbar spinal stenosis. Am Fam Physician 2004; 70: 517-20. PubMed
  3. Kalichman L, Cole R, Kim DH, Li L, Suri P, Guermazi A, et al. Spinal stenosis prevalence and association with symptoms: the Framingham Study. Spine J 2009; 9(7):545-50. PubMed
  4. Jensen RK, Jensen TS, Koes B, Hartvigsen J. Prevalence of lumbar spinal stenosis in general and clinical populations: a systematic review and meta-analysis. Eur Spine J. 2020 Sep;29(9):2143-2163. Epub 2020 Feb 24. PMID: 32095908 PubMed
  5. Deer T, Sayed D, Michels J, Josephson Y, Li S, Calodney AK. A Review of Lumbar Spinal Stenosis with Intermittent Neurogenic Claudication: Disease and Diagnosis. Pain Med. 2019 Dec 1;20(Suppl 2):S32-S44. PMID: 31808530. PubMed
  6. Pearson AM. Spinal stenosis. BMJ BestPractice, last updated 05 Oct 2018.
  7. Wang C, Chang H, Gao X, et al. Risk factors of degenerative lumbar scoliosis in patients with lumbar spinal canal stenosis. Medicine (Baltimore). 2019 Sep;98(38):e17177. PMID: 31567958. PubMed
  8. Konno S, Hayashino Y, Fukuhara S, et al. Development of a clinical diagnosis support tool to identify patients with lumbar spinal stenosis. Eur Spine J 2007; 16: 1951-7. PubMed
  9. Suri P, Rainville J, Kalichman L, Katz JN. Does this older adult with lower extremity pain have the clinical syndrome of lumbar spinal stenosis. JAMA 2010; 304: 2628-36. Journal of the American Medical Association
  10. Hsiang JK. Spinal stenosis. Medscape, last updated Mar 26, 2020. emedicine.medscape.com
  11. de Graaf I, Prak A, Bierma-Zeinstra S, Thomas S, Peul W, Koes B. Diagnosis of lumbar spinal stenosis: a systematic review of the accuracy of diagnostic tests. Spine 2006; 31: 1168-76. PubMed
  12. Zaina F, Tomkins-Lane C, Carragee E, et al. Surgical versus non-surgical treatment for lumbar spinal stenosis. Cochrane Database Syst Rev. 2016 Jan 29;1:CD010264. doi: 10.1002/14651858.CD010264.pub2. DOI
  13. Bussières A, Cancelliere C, Ammendolia C, et al. Non-Surgical Interventions for Lumbar Spinal Stenosis Leading To Neurogenic Claudication: A Clinical Practice Guideline. J Pain. 2021 Apr 12:S1526-5900(21)00188-7. Epub ahead of print. PMID: 33857615 PubMed
  14. Delitto A, Piva SR, Moore CG, et al. Surgery versus nonsurgical treatment of lumbar spinal stenosis: A randomized trial. Ann Intern Med 2015; 162:465. PMID: 25844995 PubMed
  15. Weinstein JN, Tosteson TD, Lurie JD, et al. Surgical versus nonsurgical therapy for lumbar spinal stenosis. N Engl J Med. 2008 Feb 21;358(8):794-810. PMID: 18287602. PubMed
  16. Burgstaller JM, Steurer J, Gravestock I, et al. Long-term Results After Surgical or Nonsurgical Treatment in Patients With Degenerative Lumbar Spinal Stenosis: A Prospective Multicenter Study. Spine (Phila Pa 1976). 2020 Aug 1;45(15):1030-1038. PMID: 32675604. PubMed
  17. Held U, Steurer J, Pichierri G, et al. What is the treatment effect of surgery compared with nonoperative treatment in patients with lumbar spinal stenosis at 1-year follow-up? J Neurosurg Spine. 2019 Apr 5;31(2):185-193. PMID: 30952135. PubMed
  18. Malmivaara A, Slätis P, Heliövaara M, et al. Surgical or nonoperative treatment for lumbar spinal stenosis? A randomized controlled trial. Spine (Phila Pa 1976). 2007 Jan 1;32(1):1-8. PMID: 17202885. PubMed
  19. Hermansen E, Myklebust TÅ, Austevoll IM, et al. Clinical outcome after surgery for lumbar spinal stenosis in patients with insignificant lower extremity pain. A prospective cohort study from the Norwegian registry for spine surgery. BMC Musculoskelet Disord. 2019 Jan 22;20(1):36. PMID: 30669998. PubMed
  20. Nerland US, Jakola AS, Solheim O, et al. Minimally invasive decompression versus open laminectomy for central stenosis of the lumbar spine: pragmatic comparative effectiveness study. BMJ 2015; 350: h1603. doi:10.1136/bmj.h1603 DOI
  21. Austevoll IM, Hermansen E, Fagerland MW, et al. Decompression with or without Fusion in Degenerative Lumbar Spondylolisthesis. N Engl J Med 2021; 385: 526-38. doi:10.1056/NEJMoa2100990 DOI
  22. Kgomotso EL, Hellum C, Fagerland MW, Solberg T, Brox JI, Storheim K, Hermansen E, Franssen E, Weber C, Brisby H, Algaard KRH, Furunes H, Banitalebi H, Ljøstad I, Indrekvam K, Austevoll IM; Nordsten collaborators. Decompression alone or with fusion for degenerative lumbar spondylolisthesis (Nordsten-DS): five year follow-up of a randomised, multicentre, non-inferiority trial. BMJ. 2024 Aug 7;386:e079771. PMID: 39111800. PubMed
Annonse
Annonse