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.

Highlights

  • The incidence of cervical, thoracic and lumbar spinal canal stenosis is low

  • 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 staged spinal canal decompression operation and Duhuo Jisheng Decoction (DHJSD) treatment were conducted in our hospital

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Summary

Background

The symptoms of spinal canal stenosis vary by the segment and severity of the stenosis, including radiculopathy, claudication, and myelopathy. The stenosis of the cervical and lumbar canal is most common due to more spinal activity [1]. Thoracic, and lumbar spinal canal stenosis may occur due to developmental, metabolic, or degenerative reasons. The incidence rate of multi-segment triple spinal stenosis of cervical, thoracic and lumbar vertebrae is low. Japanese scholars found through autopsy of 1072 patients with lumbar stenosis that lumbar stenosis and thoracic stenosis are not caused by tandem stenosis, and the incidence rate of triple stenosis is relatively low [2] [3] [4]. We presented a case of a triple spinal stenosis patient and describe our diagnosis and treatment experience in this disease

Case Presentation
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