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Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2018, Number 1

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Ortho-tips 2018; 14 (1)

The use of orthosis in the treatment and management of lumbar spinal stenosis

Ríos RCD

Language: Spanish
References: 16
Page: 22-27
PDF size: 146.78 Kb.


ABSTRACT

Lumbar spinal stenosis (LSS) is the main indication for spine surgery in patients over 65 years. Its prevalence is increasing due to aging of the population. LSS consist of a narrowing of the lumbar spinal canal due to soft tissue and bone tissue. This situation causes lumbar pain, irradiated neurogenic leg pain and claudication. All of this diminish substantially patient’s quality of life. Currently non-surgical management is the initial course of treatment and remains to be of importance. As a part of the physical therapy interventions, the use of orthoses or braces for the improvement of pain or as a coadjutant after spinal fusion surgery is widespread in our medium. However in recent years this presents controversy due to scarce studies in its effectiveness and safety. The indication that provides best evidence is the use prior to spinal fusion surgery for pain relief, avoiding chronic muscle fatigue and improving walking capability up to time to first symptoms and total walking time. More studies are needed to stablish if any beneficial effects exists of its use posterior to spine fusion surgery.


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