Image-Guided Percutaneous Treatment of Lumbar Stenosis and Disc Degeneration

Neuroimaging Clin N Am. 2019 Nov;29(4):563-580. doi: 10.1016/j.nic.2019.07.010.

Abstract

Low back pain, radicular leg pain, and lumbar spinal stenosis are the most common of all chronic pain disorders. Discogenic pain is related to distress of annular fibers and tears, whereas spinal stenosis is related to reduction of the spinal canal dimensions and compression of the neural elements; radicular pain is mainly related to disc herniation and is initially managed conservatively. The percutaneous minimally invasive approach in discogenic and radicular pain is designed to reduce the volume of the nucleus pulposus in patients with failure of medical and physical treatment prolonged for at least 6 weeks.

Keywords: Disc degeneration; Image-guided procedures; Low back pain; Lumbar stenosis.

Publication types

  • Review

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use*
  • Humans
  • Intervertebral Disc Degeneration / complications
  • Intervertebral Disc Degeneration / diagnostic imaging*
  • Intervertebral Disc Degeneration / drug therapy*
  • Low Back Pain / drug therapy
  • Low Back Pain / etiology
  • Lumbar Vertebrae / diagnostic imaging
  • Magnetic Resonance Imaging, Interventional / methods*
  • Radiography, Interventional / methods*
  • Spinal Stenosis / complications
  • Spinal Stenosis / diagnostic imaging*
  • Spinal Stenosis / drug therapy*
  • Tomography, X-Ray Computed / methods

Substances

  • Adrenal Cortex Hormones