Tandem spinal stenosis: clinical pattern, diagnosis and surgical tactics
https://doi.org/10.17650/1683-3295-2021-23-1-146-153
Abstract
The purpose of this review is to present an up-to-date look at the features of diagnosis and treatment of tandem spinal stenosis. Tandem spinal stenosis is a degenerative narrowing of the spinal canal of two or more parts of the spine column. Diagnosis of the one-level degenerative spinal stenosis is commonly quite easy in the practice of a spinal surgeons, while the diagnosis of tandem spinal stenosis is often difficult. The clinical presentation of tandem spinal stenosis presents a constellation of different symptoms and often cause late diagnosis. Data on the prevalence of tandem spinal stenosis are very variable, and the etiology cannot be fully studied. Thereby, comprehensive assessments of the symptoms and imaging provide assistance with the accurate and timely diagnosis. The choice of surgical method should consider possibility of staged decompression of each stenotic levels with priority for proximal parts of spine column.
About the Authors
V. M. Feniksov
Sity Clinical Hospital No. 1 n. a. N. I. Pirogov, Moscow Healthcare Department
Russian Federation
Russian Federation
Viktor Mikhaylovich Feniksov
8 Leninsky Ave., Moscow 119049, Russia
P. V. Zelenkov
N.N. Burdenko National Medical Research Center for Neurosurgery, Ministry of Health of Russia
Russian Federation
Russian Federation
16 4 th Tverskaya-Yamskaya St., Moscow 125047, Russia
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Review
For citations:
Feniksov V.M., Zelenkov P.V. Tandem spinal stenosis: clinical pattern, diagnosis and surgical tactics. Russian journal of neurosurgery. 2021;23(1):146‑153. (In Russ.) https://doi.org/10.17650/1683-3295-2021-23-1-146-153
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