Indications for Interventional Treatment of Lumbar Spinal Stenosis
Jun 02, 2021
Source: Cainiu Health
Dr. Fan Weiqiang
Introduction
First, patients who cannot tolerate open surgery due to severe cardiovascular or cerebrovascular disease, or those with other comorbidities.
Second, patients unwilling to undergo open surgery—often because of significant fear or anxiety regarding such procedures—and who prefer interventional approaches to achieve pain relief.
Third, patients with unclear diagnoses of low back and leg pain, for whom interventional treatment is employed to clarify the diagnosis.
Clinically, patients with lumbar spinal stenosis who undergo interventional treatment generally fall into three categories: First are those who cannot tolerate open surgery—often due to severe cardiovascular or cerebrovascular conditions, or other coexisting systemic diseases—that preclude them from undergoing conventional open surgical procedures; thus, interventional therapy may be selected to manage their pain.
Second are those who decline open surgery, typically due to significant fear or anxiety regarding such procedures; they prefer interventional approaches to achieve pain relief.
Third are patients presenting with unclear diagnoses of low back and leg pain; for these individuals, interventional therapy can serve both diagnostic and therapeutic purposes—clarifying the diagnosis while simultaneously alleviating pain, achieving a “two birds with one stone” effect. The above information is for reference only; specific medications and treatments should be determined based on clinical evaluation and guidance from a physician.
