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COMMENTARY
Year : 2022  |  Volume : 9  |  Issue : 1  |  Page : 37-38

Commentary to the article: “Clinicoradiological assessment of lumbar spinal canal stenosis and evaluation of its surgical treatment”


Department of Neurosurgery, Spine Surgery Unit (NCH4), Fondazione IRCCS Istituto Nazionale Neurologico “C. Besta”, Via Celoria, Milan, Italy

Date of Submission02-Dec-2021
Date of Acceptance03-Dec-2021
Date of Web Publication9-Mar-2022

Correspondence Address:
Francesco Costa
Department of Neurosurgery, Spine Surgery Unit (NCH4), Fondazione IRCCS Istituto Nazionale Neurologico “C. Besta”, Via Celoria 11, 20133 Milan
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joss.joss_30_21

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How to cite this article:
Costa F. Commentary to the article: “Clinicoradiological assessment of lumbar spinal canal stenosis and evaluation of its surgical treatment”. J Spinal Surg 2022;9:37-8

How to cite this URL:
Costa F. Commentary to the article: “Clinicoradiological assessment of lumbar spinal canal stenosis and evaluation of its surgical treatment”. J Spinal Surg [serial online] 2022 [cited 2022 May 27];9:37-8. Available from: http://www.jossworld.org/text.asp?2022/9/1/37/339270





Lumbar spinal stenosis (LSS) is a common, mainly degenerative condition affecting the aging spine, which any spine surgeon can be expected to encounter in daily practice. Despite this, the definition of the radiological entity and its correlation with symptoms have, as yet, still not been well established and standardized, with few guidelines or recommendations published on this topic.[1] The Spinal Committee of the World Federation of Neurosurgical Societies recently published recommendations regarding the natural history, diagnosis, conservative, and surgical treatment of LSS.[2],[3],[4],[5] However, some practical aspects involved in the daily activity management of this pathology remain unclear.

In particular, the clinicoradiological assessment of LSS and the indications for surgical treatment remain the most critical steps in the process.

The authors of the paper “Clinicoradiological assessment of lumbar spinal canal stenosis and evaluation of its surgical treatment” propose their criteria for surgical intervention for lumbar stenosis and study the outcome of surgical intervention. They especially correlate the cross-sectional areas of the dural sac with clinical findings defined by neurological deficit, Oswestry disability index, and the capacity to walk. The clinical results described for all selected populations are good (ranging from good to excellent), without any poor or fair outcomes. This data, although in a limited sample, confirm that a good surgical result is mainly determined by a correct indication and exhaustive information for the patient to limit false expectations that can affect clinical results.[6] LSS remains a clinicoradiological syndrome, and both the symptoms and radiological findings are relevant and must be correlated. Further studies with a larger sample must be conducted to confirm this topic.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Costa F, Anania CD, Zileli M, Servadei F, Fornari M. Lumbar spinal stenosis: Introduction to the World Federation of Neurosurgical Societies (WFNS) spine committee recommendations. World Neurosurg X 2020;7:100075.  Back to cited text no. 1
    
2.
Zileli M, Crostelli M, Grimaldi M, Mazza O, Anania C, Fornari M, et al. Natural course and diagnosis of lumbar spinal stenosis: WFNS Spine Committee Recommendations. World Neurosurg X 2020;7:100073.  Back to cited text no. 2
    
3.
Fornari M, Robertson SC, Pereira P, Zileli M, Anania CD, Ferreira A, et al. Conservative treatment and percutaneous pain relief techniques in patients with lumbar spinal stenosis: WFNS Spine Committee Recommendations. World Neurosurg X 2020;7:100079.  Back to cited text no. 3
    
4.
Costa F, Alves OL, Anania CD, Zileli M, Fornari M. Decompressive surgery for lumbar spinal stenosis: WFNS Spine Committee Recommendations. World Neurosurg X 2020;7:100076.  Back to cited text no. 4
    
5.
Sharif S, Shaikh Y, Bajamal AH, Costa F, Zileli M. Fusion surgery for lumbar spinal stenosis: WFNS Spine Committee Recommendations. World Neurosurg X 2020;7:100077.  Back to cited text no. 5
    
6.
Sirvanci M, Bhatia M, Ganiyusufoglu KA, Duran C, Tezer M, Ozturk C, et al. Degenerative lumbar spinal stenosis: Correlation with oswestry disability index and MR imaging. Eur Spine J 2008;17:679-85.  Back to cited text no. 6
    




 

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