Author/Editor		Strojnik, T
Title		Stenoza v lateralnem recesusu ledvene hrbtenice pri ljudeh
Type		monografija
Place		Ljubljana
Publisher		Medicinska fakulteta
Publication year		1994
Volume		str. 113
Language		slo
Abstract		Stenosis of the lateral recess in the lumbar spinal canal continues to be a clinical problem especially when there is question of surgical management. Considering the position of the nerve root it is most cranial part of the lateral lumbar canal. Anteriorly and superiorly it is bounded by the disc space, laterally by the pedicle and posteriorly by the superior facet with attached ligamentum flavum. A degeneratively enlarged superior articular facet is the most frequent cause for lateral recess stenosis. Lateral recess stenosis can be absolute or relative. Stenosis is said to be absolute if the hight of lateral recess measures 2,0 mm or less. The hight between 3, 0 and 4, 0 mm means a relative stenosis. Stenosis of the lateral recess may be static or dynamic. Set of clinical symptoms and signs may indicate the presence of this pathological entity. Criteria for a diagnosis as well as for operative treatment of lateral recess stenosis are still not clearly defined. Measurements of the lateral recess hight on a CT scans are emphasized by authors and are said to be helpful in reaching a dectsion on a management The present work is based on the assumption that the measurements of the lateral recess irngle may be useful in the clinical management of lateral recess stenosis. The reliability and the significance of the results obtained were analysed and compared with the findings of others. A group of 35 patients is presented. They all suffered from the lateral recess stenosis at L4-LS or LS-SI level evaluated by radiological methods (radiograms, myelography and CT). The stenosis wa s also confirmed with an intraoperative measuring of the lateral recess hight. Fiftythree affected lateral recess were analysed. The average measured value was 2,Smm(SD=O,Smm). Before operation the hights on the CT scans were measured. The average measured CT scan hight was 3,3 mm (SD = 0, 9 mm). Fortyone of the hights were 3,6 mm or less. The angles on the CT scans were measured.(trunc.)
Descriptors		SPINAL STENOSIS TOMOGRAPHY, X-RAY COMPUTED LOW BACK PAIN LUMBAR VERTEBRAE ELECTROMYOGRAPHY NEUROLOGIC EXAMINATION MYELOGRAPHY POSTURE