Classification and diagnosis of lumbar spinal stenosis

• Published in: Der Orthopäde
• Main Authors: Arabmotlagh, M, Sellei, R M, Vinas-Rios, J M, Rauschmann, M
• Format: Journal Article
• Language: German
• Published: Germany 17.05.2019
• Subjects: Vertebral column; Lumbar stenosis; Claudication spinalis; Spinal canal; Nerve roots decompression
• ISSN: 1433-0431
• DOI: 10.1007/s00132-019-03746-1

Lumbar spinal stenosis is caused by various pathological conditions. With the diagnostic tools available, a precise classification of the condition should be made, which enables a consistent and appropriate therapeutic approach. In the present article, the currently used classifications of lumbar spinal stenosis are discussed and the diagnostic tools are presented, focussing on the imaging descriptions of morphological changes. This article is based on a PubMed literature search of the past 60 years and our own experiences. Lumbar spinal stenosis is caused mainly by degenerative changes to the spine. MR tomographic imaging can result in precise anatomical illustration and classification of the stenosis. Although modern imaging procedures deliver a very precise illustration of lumbar spinal stenosis, clinical symptoms make a considerable contribution to therapeutic decision-making. With the anatomical classification, differentiated surgical decompression of the spinal canal can be planned.