title: [Lumbar spinal stenosis: clinical course, pathophysiology and treatment].
abstract: The lumbar spinal stenosis is a radiological description of a pathology that can present clinically by a neurogenic intermittent claudication; its diagnosis is mainly clinical. After listing the main criteria allowing the clinician to make a diagnosis, a review of available treatments is proposed. There are few quality studies and an empirical approach is often necessary. In severe cases, very disabling despite correct treatment, a surgical approach may be considered and discussed with the patient to avoid failure, sometimes linked to excessive expectations.
authors.affiliation: Service de rhumatologie, Hôpital Beau-Séjour, HUG, 1211 Genève 14. stephane.genevay@hcuge.ch
authors.forename: S
authors.initials: S
authors.lastname: Genevay
authors.forename: P
authors.initials: P
authors.lastname: Chevallier-Ruggeri
authors.forename: A
authors.initials: A
authors.lastname: Faundez
mesh_terms: D017677:Age Distribution; D000772:Anesthesia, Local; D000779:Anesthetics, Local / Q000008:administration & dosage; D002045:Bupivacaine / Q000008:administration & dosage; D019299:Decompression, Surgical / Q000379:methods; D003937:Diagnosis, Differential; D006801:Humans; D007383:Intermittent Claudication / Q000209:etiology; D008159:Lumbar Vertebrae; D012307:Risk Factors; D013130:Spinal Stenosis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology* / Q000601:surgery* / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D000779:Anesthetics, Local; D002045:Bupivacaine