Lumbar Spinal Stenosis in Older Adults - Gender Differences
Journal Title: Macedonian Journal of Medical Sciences (MJMS) - Year 2009, Vol 2, Issue 3
Abstract
Background. Spinal stenosis usually occurs in older adults. The treatment of this condition is with varying success It is necessary to assess the risk and the expected benefits of the treatment (surgical or not surgical) in the rapidly growing old segment of population. Aim. The aim of this study is to present the anatomic and segmental distribution of spinal stenotic changes in the symptomatic old adult males and females and to contribute toward framing an agenda for an optional treatment of this condition in the old segment of the population. Material and Methods. In the study the anatomic presence of spinal stenotic changes in the symptomatic older adults, referred for lumbar MRI was evaluated. The segmental distribution of spinal stenosis in old adult males and females, if the anatomical unit is the vertebral body and the disc bellow it was presented. Results. Of the 27 male and female patients with spinal stenosis, 65 and older, according to the localization of the spinal stenosis, the most frequent affected levels were L4 and L3. In the old adult female patients stenotic changes affected more proximal levels of the lumbar spine and there was a significantly larger number of female patients with stenotic changes on two,three and even four adjacent levels. Conclusion. Spinal stenosis in older adults is multilevel and multifactorial disorder, caused by different factors related to the degenerative processes.
Authors and Affiliations
Niki Matveeva| Institute of Anatomy, Faculty of Medicine, University “Ss Kiril and Metodij”, Skopje, Republic of Macedonia, Miodrag Vrchakovski| Institute of Radiology, Faculty of Medicine, University “Ss Kiril and Metodij”, Skopje, Republic of Macedonia
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- EP ID EP8696
- DOI 10.3889/MJMS.1857-5773.2009.0062
- Views 415
- Downloads 19
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