gms | German Medical Science

54. Jahrestagung der Norddeutschen Orthopädenvereinigung e. V.

Norddeutsche Orthopädenvereinigung

16.06. bis 18.06.2005, Hamburg

Conservative treatment of lumbar spinal stenosis with epidural catheter therapy

Meeting Abstract

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  • corresponding author J. Schilling - Eilbek General Hospital, Landesbetrieb Krankenhäuser Hamburg, Hamburg
  • D. Storm - Hamburg
  • E. Hille - Hamburg

Norddeutsche Orthopädenvereinigung. 54. Jahrestagung der Norddeutschen Orthopädenvereinigung e.V.. Hamburg, 16.-18.06.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05novP16

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Veröffentlicht: 13. Juni 2005

© 2005 Schilling et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen ( Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.




One of the clinically most important degenerative spinal disorders in the aging population is lumbar spinal canal stenosis. Sufficient conservative treatment of spinal canal stenosis is necessary due to high overall risk of surgical intervention in elderly patients frequently presenting with co-morbidity. Up to date, conservative management consists of physiotherapy, oral medication such as non-steroidal-anti-inflammatories, prostaglandines, interleukines or calcitonin and intermittend epidural steroid injections. It is now consensus that enzymatic and neurochemical mediation is responsible for pain and inflammation in spinal canal stenosis.

Recent studies suggest that permanent epidural steroid injections benefit lumbar stenosis. We analysed the short- and midterm outcome of conservative treatment of SCS with epidural anti-inflammatories administered via permanent epidural catheter.

Patients, Material and Method

40 Patients aged 60 to 88 years with diagnosed SCS following well established clinical and radiological criteria were included in this study. Daily treatment included the administration of a local anastaetic, an opioid and a steroid-injection for a duration of 4 to 10 days. Additionally, all patients underwent physiotherapy. The outcome after 6 to 12 month was evaluated using the Oswestry-Disability-Questionair (ODQ), visual analogue scale and walking distance before and after treatment.


Detailed data on clinical and radiological results of 40 patients followed up at least for 6 months will be presented.