Features of diagnosis and surgical treatment of stenosis and spondylolsithesis of the lumbar spine in elderly and senile patients

This paper presents an analytical review of domestic and international publications on the diagnosis and surgical treatment of lumbar spinal stenosis in elderly and senile patients. Despite a significant number of scientific publications that have studied the pathogenetic mechanisms and clinical presentation of lumbar stenosis in the geriatric population, issues of early diagnosis and optimal surgical approach in this patient category have been addressed insufficiently. In recent years, the adoption of diagnostic modalities such as ultrasonography, CT, and MRI has enabled significant progress in understanding the clinical features and course of lumbar spinal stenosis in elderly and senile patients. The complexity lies in the diverse clinical course and the multifactorial etiology leading to this pathology. Therefore, the development of a systematic approach to both diagnosis and surgical treatment is essential for the appropriate selection of a surgical method based on the underlying etiology .

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