Rev Mex Neuroci 2017; 18(4): 24-29

Resumen

Introducción: La estenosis lumbar adquirida tiene su principal origen por hernia discal. Aunque existe una relación entre el grado de estenosis y la sintomatología por radiculopatía, ésta última podría no llegar a presentarse. Existen nuevas (y fuertes) tendencias al tratamiento conservador integral de hernia discal, por lo que se pretende ver su efecto en pacientes con canal lumbar estrecho por hernia discal intervertebral.

Objetivo: Describir el desenlace clínico de pacientes con canal lumbar estrecho por hernia discal intervertebral, manejados de forma conservadora.

Resultados: Un total de 51 pacientes con estenosis lumbar secundaria a hernia discal (con estenosis promedio de 57.2%±12.6%) fueron tratados de manera conservadora combinada, presentando una EVA del dolor al ingreso de 7.8±1.8, y disminuyendo significativamente al egreso (2.0±1.7).

Conclusión: Independientemente del grado de estenosis y dolor lumbar, se obtuvo una buena respuesta mediante el tratamiento conservador combinado, por lo que se recomienda para uso en pacientes con estenosis lumbar por hernia de disco intervertebral.

Abstract

Introduction: Acquired lumbar stenosis has its main origin due to disc herniation. Although there is a relationship between the degree of stenosis and the symptomatology due to radiculopathy, the latter may not present itself. There are new (and strong) tendencies to the conservative integral treatment of disc hernia, reason why it is tried to see its effect in patients with narrow lumbar canal by intervertebral disc herniation.

Objective: To describe the clinical outcome of patients with spinal stenosis due to a herniated intervertebral disc treated conservatively.

Results: In all, 51 patients with lumbar stenosis secondary to herniated disc (with an average stenosis of 57.2% ± 12.6%) were treated in a conservative combined manner, presenting an EVA of pain at admission of 7.8 ± 1.8, and significantly decreasing at discharge (2.0 ± 1.7).

Conclusion: Regardless of the degree of stenosis and lumbar pain, a good response was obtained by combined conservative treatment, and is therefore recommended for use in patients with lumbar stenosis due to intervertebral disc herniation.