TITLE:
Diagnosis Experience of Patients with Cervical, Thoracic and Lumbar Multi-Segment Spinal Stenosis: A Case Report and Literature Review
AUTHORS:
Guosen Du, Longbiao Xu, Yajuan Tang, Guangyu Ying, Yongjian Zhu
KEYWORDS:
Cervical Vertebral Canal Stenosis, Thoracic Vertebral Canal Stenosis, Lumbar Vertebral Canal Stenosis, Diagnostic Strategy
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.10 No.4,
April
24,
2021
ABSTRACT: Background: The incidence of cervical, thoracic and lumbar spinal canal stenosis is low. It is difficult to identify the main focus and responsible segment, and it is also difficult to select the sequence of staging surgery. We report a patient with triple stenosis. Case Presentation: In this paper, we introduced a 61-year-old female patient with cervical, thoracic and lumbar spinal canal stenosis who had previously undergone “lumbar discectomy” in the outer hospital. The postoperative effect was not good and the symptoms were poor. The diagnosis was “cervical spinal stenosis and lumbar postoperative surgery”. The staged spinal canal decompression operation and Duhuo Jisheng Decoction (DHJSD) treatment were conducted in our hospital. After three months of follow-up, the functional and imaging results were satisfactory. Conclusions: The main focus and responsible spinal segment should be determined by the comprehensive analysis of medical history, signs, and images. Surgery combined with Chinese herbal medicine DHJSD therapy may be an effective treatment for this kind of disease.