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Systematic Review

Exploring Pathways for Pain Relief in Treatment and Management of Lumbar Foraminal Stenosis: A Review of the Literature

by
Renat Nurmukhametov
1,2,3,
Manuel De Jesus Encarnacion Ramirez
2,*,
Medet Dosanov
1,
Abakirov Medetbek
1,
Stepan Kudryakov
1,
Gervith Reyes Soto
4,
Claudia B. Ponce Espinoza
4,
Jeff Natalaja Mukengeshay
5,
Tshiunza Mpoyi Cherubin
5,
Vladimir Nikolenko
3,
Artem Gushcha
6,
Salman Sharif
7 and
Nicola Montemurro
8,*
1
2nd National Clinical Centre, Federal State Budgetary Research Institution, Russian Research Center of Surgery Named after Academician B.V. Petrovsky, 103274 Moscow, Russia
2
Department of Neurosurgery, Russian People’s Friendship University, 121359 Moscow, Russia
3
Department of Neurosurgery, Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, 103220 Moscow, Russia
4
Department of Head and Neck, Unidad de Neurociencias, Instituto Nacional de Cancerología, Mexico City 14080, Mexico
5
Clinique Ngaliema, Kinshasa 7948, Democratic Republic of the Congo
6
Department of Neurosurgery, Research Center of Neurology, 103220 Moscow, Russia
7
Department of Neurosurgery, Liaquat National Hospital and Medical College, Karachi 16250, Pakistan
8
Department of Neurosurgery, Azienda Ospedaliero Universitaria Pisana (AOUP), 56100 Pisa, Italy
*
Authors to whom correspondence should be addressed.
Brain Sci. 2024, 14(8), 740; https://doi.org/10.3390/brainsci14080740 (registering DOI)
Submission received: 18 May 2024 / Revised: 2 July 2024 / Accepted: 22 July 2024 / Published: 24 July 2024
(This article belongs to the Special Issue New Trends and Technologies in Modern Neurosurgery)

Abstract

Background: Lumbar foraminal stenosis (LFS) involves the narrowing of neural foramina, leading to nerve compression, significant lower back pain and radiculopathy, particularly in the aging population. Management includes physical therapy, medications and potentially invasive surgeries such as foraminotomy. Advances in diagnostic and treatment strategies are essential due to LFS’s complexity and prevalence, which underscores the importance of a multidisciplinary approach in optimizing patient outcomes. Method: This literature review on LFS employed a systematic methodology to gather and synthesize recent scientific data. A comprehensive search was conducted across PubMed, Scopus and Cochrane Library databases using specific keywords related to LFS. The search, restricted to English language articles from 1 January 2000 to 31 December 2023, focused on peer-reviewed articles, clinical trials and reviews. Due to the heterogeneity among the studies, data were qualitatively synthesized into themes related to diagnosis, treatment and pathophysiology. Results: This literature review on LFS analyzed 972 articles initially identified, from which 540 remained after removing duplicates. Following a rigorous screening process, 20 peer-reviewed articles met the inclusion criteria and were reviewed. These studies primarily focused on evaluating the diagnostic accuracy, treatment efficacy and pathophysiological insights into LFS. Conclusion: The comprehensive review underscores the necessity for precise diagnostic and management strategies for LFS, highlighting the role of a multidisciplinary approach and the utility of a unified classification system in enhancing patient outcomes in the face of this condition’s increasing prevalence.
Keywords: lumbar foraminal stenosis; neurosurgery; microsurgical skills; surgical treatment; surgical outcome lumbar foraminal stenosis; neurosurgery; microsurgical skills; surgical treatment; surgical outcome

Share and Cite

MDPI and ACS Style

Nurmukhametov, R.; Ramirez, M.D.J.E.; Dosanov, M.; Medetbek, A.; Kudryakov, S.; Reyes Soto, G.; Espinoza, C.B.P.; Mukengeshay, J.N.; Mpoyi Cherubin, T.; Nikolenko, V.; et al. Exploring Pathways for Pain Relief in Treatment and Management of Lumbar Foraminal Stenosis: A Review of the Literature. Brain Sci. 2024, 14, 740. https://doi.org/10.3390/brainsci14080740

AMA Style

Nurmukhametov R, Ramirez MDJE, Dosanov M, Medetbek A, Kudryakov S, Reyes Soto G, Espinoza CBP, Mukengeshay JN, Mpoyi Cherubin T, Nikolenko V, et al. Exploring Pathways for Pain Relief in Treatment and Management of Lumbar Foraminal Stenosis: A Review of the Literature. Brain Sciences. 2024; 14(8):740. https://doi.org/10.3390/brainsci14080740

Chicago/Turabian Style

Nurmukhametov, Renat, Manuel De Jesus Encarnacion Ramirez, Medet Dosanov, Abakirov Medetbek, Stepan Kudryakov, Gervith Reyes Soto, Claudia B. Ponce Espinoza, Jeff Natalaja Mukengeshay, Tshiunza Mpoyi Cherubin, Vladimir Nikolenko, and et al. 2024. "Exploring Pathways for Pain Relief in Treatment and Management of Lumbar Foraminal Stenosis: A Review of the Literature" Brain Sciences 14, no. 8: 740. https://doi.org/10.3390/brainsci14080740

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