Annals of Clinical and Experimental NeurologyAnnals of Clinical and Experimental NeurologyАнналы клинической и экспериментальной неврологии2075-54732409-2533Eco-Vector91610.54101/ACEN.2024.1.9ReviewsОбзорыReview ArticleSurgical Treatment Options for Degenerative Lumbosacral Spinal StenosisВарианты хирургического лечения дегенеративных стенозов пояснично-крестцового отдела позвоночникаhttps://orcid.org/0000-0002-1679-2781YusupovaAdilya R.ЮсуповаАдиля Ринатовна
Russian Federation

postgraduate student, neurosurgeon, 1st Neurosurgery department, Institute of Clinical and Preventive Neurology

аспирант, врач-нейрохирург 1-го нейрохирургического отделения Института клинической и профилактической неврологии

dr.yusupova.adilya@gmail.comhttps://orcid.org/0000-0003-3451-5750GushchaArtem O.ГущаАртем Олегович
Russian Federation

D. Sci. (Med.), Prof., Head, Department of neurosurgery, 1st Neurosurgery department, Institute of Clinical and Preventive Neurology

д.м.н., профессор РАН, зав. 1-м нейрохирургическим отделением Института клинической и профилактической неврологии

dr.yusupova.adilya@gmail.comhttps://orcid.org/0000-0003-4809-4117ArestovSergey O.АрестовСергей Олегович
Russian Federation

Cand. Sci. (Med.), senior researcher, Department of neurosurgery, 1st Neurosurgery department, Institute of Clinical and Preventive Neurology

к.м.н., с.н.с. 1-го нейрохирургического отделения Института клинической и профилактической неврологии

dr.yusupova.adilya@gmail.comhttps://orcid.org/0000-0001-9588-7721PetrosyanDavid V.ПетросянДавид Вазгенович
Russian Federation

neurosurgeon, 1st Neurosurgery department, Institute of Clinical and Preventive Neurology, Research Center of Neurology

врач-нейрохирург 1-го нейрохирургического отделения Института клинической и профилактической неврологии

dr.yusupova.adilya@gmail.comhttps://orcid.org/0000-0003-4543-3451KartavykhRoman A.КартавыхРоман Александрович
Russian Federation

Cand. Sci. (Med.), neurosurgeon, 1st Neurosurgery department, Institute of Clinical and Preventive Neurology

к.м.н., врач-нейрохирург 1-го нейрохирургического отделения Института клинической и профилактической неврологии

dr.yusupova.adilya@gmail.comhttps://orcid.org/0000-0001-8848-801XSimonyanArmen S.СимонянАрмен Самвелович
Russian Federation

neurosurgeon, 1st Neurosurgery department, Institute of Clinical and Preventive Neurology

врач-нейрохирург 1-го нейрохирургического отделения Института клинической и профилактической неврологии

dr.yusupova.adilya@gmail.comhttps://orcid.org/0000-0003-1903-9274KiselevAndrey A.КиселёвАндрей Анатольевич
Russian Federation

neurosurgeon, 1st Neurosurgery department, Institute of Clinical and Preventive Neurology

врач-нейрохирург 1-го нейрохирургического отделения Института клинической и профилактической неврологии

dr.yusupova.adilya@gmail.comResearch Center of NeurologyНаучный центр неврологии0504202418179871711202219122022Copyright ©; 2024, Yusupova A.R., Gushcha A.O., Arestov S.O., Petrosyan D.V., Kartavykh R.A., Simonyan A.S., Kiselev A.A.Copyright ©; 2024, Юсупова А.Р., Гуща А.О., Арестов С.О., Петросян Д.В., Картавых Р.А., Симонян А.С., Киселёв А.А.2024Yusupova A.R., Gushcha A.O., Arestov S.O., Petrosyan D.V., Kartavykh R.A., Simonyan A.S., Kiselev A.A.Юсупова А.Р., Гуща А.О., Арестов С.О., Петросян Д.В., Картавых Р.А., Симонян А.С., Киселёв А.А.https://creativecommons.org/licenses/by/4.0https://annaly-nevrologii.com/pathID/article/view/916

Degenerative spinal stenosis is the most common type of degenerative and dystrophic spine disease. The clinical picture of stenosis, which may include axial pain syndrome, leg pain, intermittent claudication syndrome, weakness and loss of sensitivity in the legs, and impaired pelvic functions, can significantly worsen patients’ quality of life and reduce their ability to work and lead an active lifestyle.

Degenerative spinal stenosis mostly affects the elderly. Therapeutic and neurological communities have stereotypes about spine surgery being too traumatic and invasive, and, therefore, they believe that their use should be contraindicated to and limited in elderly patients. However, surgeons are increasingly giving preference to minimally invasive interventions with high efficacy and safety together with a low risk of complications.

We aimed at reviewing current treatment methods for degenerative lumbosacral spinal stenosis with an emphasis on surgical treatment methods.

Стеноз позвоночного канала дегенеративной природы является самой распространённой нозологией среди дегенеративно-дистрофических поражений позвоночника. Клиническая картина стеноза, которая может включать аксиальный болевой синдром и боль в ногах, синдром перемежающейся хромоты, слабость и нарушение чувствительности в ногах, нарушение тазовых функций, существенно снижает качество жизни пациентов и приводит к потере ими трудоспособности и возможности вести активный образ жизни.

Дегенеративный стеноз позвоночника — это в основном болезнь пожилых людей. В терапевтическом и неврологическом сообществах сложился стереотип о чрезмерной травматичности и инвазивности хирургических вмешательств на позвоночнике и, следовательно, о противопоказаниях и ограничениях использования опций хирургического лечения у пациентов пожилого возраста. Однако в настоящее время хирурги всё чаще отдают предпочтение малоинвазивным вмешательствам, имеющим высокую эффективность и безопасность и характеризующимся низкими рисками осложнений.

Целью данной работы является обзор современных методов лечения дегенеративных стенозов пояснично-крестцового отдела позвоночника с акцентом на хирургических вариантах лечения данной патологии.

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