Is Surgery the Right Choice for Spinal Stenosis? Exploring Treatment Options

Spinal stenosis is a condition where the spaces within the spine narrow, exerting pressure on the spinal cord or nerve roots. This narrowing can cause discomforting symptoms like pain or numbness in the legs. This condition is predominantly found in individuals over the age of 50 and is often a result of the aging spine. The term ‘stenosis’ specifically indicates that the space surrounding the spinal cord has decreased, a condition that can be brought on by bulging discs, ligamentous hypertrophy, overgrowth of bones, ligaments, and disc osteophyte complexes. These obstructions can lead to nerve compression resulting in either myelopathy (spinal cord compression) or radiculopathy (nerve root compression).

Fortunately, various treatments, both surgical and non-surgical, are available for spinal stenosis. Early symptoms can often be managed with lifestyle changes and over-the-counter medications to control swelling and pain, such as nonsteroidal anti-inflammatory drugs. Walking, biking, and other exercises can also prove beneficial. When initial symptoms become pronounced, medical professionals may recommend epidural steroid injections.

If non-surgical treatments do not yield long-term relief, especially in cases where stenosis results from degeneration, surgical intervention might be necessary. At institutions like HSS, spine decompression surgeries like laminectomy, laminotomy, laminoplasty, discectomy, and microdiscectomy are performed. These surgical procedures aim to expand the spinal canal and provide ample space for the nerves, alleviating pain and other symptoms.

One promising, minimally invasive procedure, known as the Vertiflex or Interspinous Spacer Procedure, is available at UF Health. This method involves the implantation of a titanium spacer through a minor incision in the lower back, which could offer relief for patients experiencing leg and back pain due to lumbar spinal stenosis.

In conclusion, while spinal stenosis is a common neurosurgical condition, there are several treatment pathways available. It’s crucial for patients to discuss potential options with their health-care provider to determine the most suitable approach for their individual needs.