. "1"^^ . . "Lumb\u00E1ln\u00ED sten\u00F3za p\u00E1te\u0159n\u00EDho kan\u00E1lu" . "Spin\u00E1lna chirurgia II" . . "Pale\u010Dek, Tom\u00E1\u0161" . . . "16"^^ . "RIV/00843989:_____/12:00102933!RIV13-MZ0-00843989" . "SAP" . "Lumb\u00E1ln\u00ED sten\u00F3za p\u00E1te\u0159n\u00EDho kan\u00E1lu"@cs . . . . "Number of surgically treated patients with lumbar spinal stenosis (LSS) is rising in recent years. The reason is higher longevity (LSS is called a disease of aging) as well as more precise diagnostic modalities (namely imaging methods). Limited chances of conservative treatment to improve patients\u015B quality of life (pain relief and mobility improvement) led to a marked development of surgical therapy. Better understandig of LSS ethiology with respecting the degenerative segmental instability became crucial for tailoring and implantation of new surgical implants. The aim is to allow a radical decompression of spinal canal and to protect the spinal motion segment from acceleration of degenerative process. As the diagnosis is more accurate nowadays, with potential to distinguish between central and lateral LSS, less invasive decompression techniques are developed. Strategy and extent of surgical interventions have been changed largely with understandig of LSS manifestation in phase of dege"@en . "Degenerativn\u00ED lumb\u00E1ln\u00ED spin\u00E1ln\u00ED sten\u00F3za je onemocn\u011Bn\u00EDm nej\u010Dast\u011Bji se vyskytuj\u00EDc\u00EDm kolem 60.roku v\u011Bku. Iniciuji j\u00ED zm\u011Bny na meziobratlov\u00E9 plot\u00E9nce (ztr\u00E1ta jej\u00ED rezistence a v\u00FD\u0161ky s n\u00E1sledn\u00FDm p\u0159et\u00ED\u017Een\u00EDm zadn\u00EDch meziobratlov\u00FDch kloub\u016F a zbytn\u011Bn\u00ED ligamentum flavum). Anatomicky ji lze rozd\u011Blit do dvou z\u00E1kladn\u00EDch typ\u016F: 1centr\u00E1ln\u00ED a 2. later\u00E1ln\u00ED. Klinick\u00FDmi projevy jsou tzv. intermitentn\u00ED neurogenn\u00ED klaudikace, tj. bolesti a progreduj\u00EDc\u00ED slabost DK (typick\u00E9 pro centr\u00E1ln\u00ED typ sten\u00F3zy) nebo postur\u00E1ln\u011B klaudika\u010Dn\u00ED ko\u0159enov\u00FD syndrom \u2013 bolest v kon\u010Detin\u011B, kter\u00E1 m\u00E1 ko\u0159enovou projekci (typick\u00FD pro later\u00E1ln\u00ED typ sten\u00F3zy). Oba klinick\u00E9 projevy jsou v\u00E1z\u00E1ny na stoj a ch\u016Fzi a odezn\u00ED po p\u0159edklonu nebo usednut\u00ED. Mimo klinick\u00E9 projevy diagn\u00F3zu podpo\u0159\u00ED vy\u0161et\u0159en\u00ED magnetickou rezonanc\u00ED, kter\u00E9 dokonale zobraz\u00ED z\u00FA\u017Een\u00ED p\u00E1te\u0159n\u00EDho kan\u00E1lu vyvolan\u00E9 zbytn\u011Bn\u00EDm v\u00FD\u0161e uveden\u00FDch struktur. Konzervativn\u00ED l\u00E9\u010Dba b\u00FDv\u00E1 v\u011Bt\u0161inou s p\u0159echodn\u00FDm efektem. Indikac\u00ED k chirurgick\u00E9 l\u00E9\u010Db\u011B b\u00FDv\u00E1 zkracuj\u00EDc\u00ED se klaudika\u010Dn\u00ED interval, m\u00E9n\u011B \u010Dasto" . "Lumbar spinal stenosis"@en . . "221"^^ . . "degenerative disc disease; neurogenic claudication; decompresion of spinal canal"@en . "Degenerativn\u00ED lumb\u00E1ln\u00ED spin\u00E1ln\u00ED sten\u00F3za je onemocn\u011Bn\u00EDm nej\u010Dast\u011Bji se vyskytuj\u00EDc\u00EDm kolem 60.roku v\u011Bku. Iniciuji j\u00ED zm\u011Bny na meziobratlov\u00E9 plot\u00E9nce (ztr\u00E1ta jej\u00ED rezistence a v\u00FD\u0161ky s n\u00E1sledn\u00FDm p\u0159et\u00ED\u017Een\u00EDm zadn\u00EDch meziobratlov\u00FDch kloub\u016F a zbytn\u011Bn\u00ED ligamentum flavum). Anatomicky ji lze rozd\u011Blit do dvou z\u00E1kladn\u00EDch typ\u016F: 1centr\u00E1ln\u00ED a 2. later\u00E1ln\u00ED. Klinick\u00FDmi projevy jsou tzv. intermitentn\u00ED neurogenn\u00ED klaudikace, tj. bolesti a progreduj\u00EDc\u00ED slabost DK (typick\u00E9 pro centr\u00E1ln\u00ED typ sten\u00F3zy) nebo postur\u00E1ln\u011B klaudika\u010Dn\u00ED ko\u0159enov\u00FD syndrom \u2013 bolest v kon\u010Detin\u011B, kter\u00E1 m\u00E1 ko\u0159enovou projekci (typick\u00FD pro later\u00E1ln\u00ED typ sten\u00F3zy). Oba klinick\u00E9 projevy jsou v\u00E1z\u00E1ny na stoj a ch\u016Fzi a odezn\u00ED po p\u0159edklonu nebo usednut\u00ED. Mimo klinick\u00E9 projevy diagn\u00F3zu podpo\u0159\u00ED vy\u0161et\u0159en\u00ED magnetickou rezonanc\u00ED, kter\u00E9 dokonale zobraz\u00ED z\u00FA\u017Een\u00ED p\u00E1te\u0159n\u00EDho kan\u00E1lu vyvolan\u00E9 zbytn\u011Bn\u00EDm v\u00FD\u0161e uveden\u00FDch struktur. Konzervativn\u00ED l\u00E9\u010Dba b\u00FDv\u00E1 v\u011Bt\u0161inou s p\u0159echodn\u00FDm efektem. Indikac\u00ED k chirurgick\u00E9 l\u00E9\u010Db\u011B b\u00FDv\u00E1 zkracuj\u00EDc\u00ED se klaudika\u010Dn\u00ED interval, m\u00E9n\u011B \u010Dasto"@cs . "Bratislava" . "V" . "Lumb\u00E1ln\u00ED sten\u00F3za p\u00E1te\u0159n\u00EDho kan\u00E1lu" . "RIV/00843989:_____/12:00102933" . "Lumbar spinal stenosis"@en . "[40EDA0BACA57]" . . . "978-80-89607-02-0" . . "Lumb\u00E1ln\u00ED sten\u00F3za p\u00E1te\u0159n\u00EDho kan\u00E1lu"@cs . . "147578" . . "1"^^ .