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Чаще всего локализуется в поясничном отделе, реже — в шейном и грудном [6](https://celitel05.ru/wiki/nervnye-bolezni/stenoz-pozvonochnogo-kanala-prichiny-simptomy-lechenie/). \n\nПри подозрении на стеноз позвоночного канала необходимо обратиться к неврологу или нейрохирургу [10](https://doct.ru/diseases/stenoz-pozvonochnogo-kanala-spinalniy-stenoz.html).\n\n\n\n## Причины\nНекоторые причины стеноза: \n* **Дегенеративные изменения позвоночника** (остеохондроз, спондилёз) — разрастание костной ткани (остеофиты) и утолщение связок, которые сужают просвет спинномозгового канала [5](https://institut-clinic.ru/absoljutnyj-stenoz-pozvonochnogo-kanala/). \n* **Травмы позвоночника** (переломы, смещения позвонков) — могут деформировать позвоночный канал [5](https://institut-clinic.ru/absoljutnyj-stenoz-pozvonochnogo-kanala/). \n* **Последствия оперативных вмешательств** на позвоночном столбе — образование рубцов, установка стальных конструкций [6](https://celitel05.ru/wiki/nervnye-bolezni/stenoz-pozvonochnogo-kanala-prichiny-simptomy-lechenie/). \n* **Новообразования**, которые давят на позвоночный канал [6](https://celitel05.ru/wiki/nervnye-bolezni/stenoz-pozvonochnogo-kanala-prichiny-simptomy-lechenie/).\n\n## Симптомы\nСимптомы стеноза зависят от того, где развивается патология и от степени сужения [10](https://doct.ru/diseases/stenoz-pozvonochnogo-kanala-spinalniy-stenoz.html). Некоторые признаки: \n* постоянная боль в спине, усиливающаяся при ходьбе или нагрузке [10](https://doct.ru/diseases/stenoz-pozvonochnogo-kanala-spinalniy-stenoz.html); \n* ощущение онемения, покалывания, жжения в руках или ногах [10](https://doct.ru/diseases/stenoz-pozvonochnogo-kanala-spinalniy-stenoz.html); \n* слабость в конечностях, ощущение тяжести или «ватности» [10](https://doct.ru/diseases/stenoz-pozvonochnogo-kanala-spinalniy-stenoz.html); \n* нарушение координации, шаткость походки [10](https://doct.ru/diseases/stenoz-pozvonochnogo-kanala-spinalniy-stenoz.html); \n* снижение чувствительности кожи [10](https://doct.ru/diseases/stenoz-pozvonochnogo-kanala-spinalniy-stenoz.html); \n* в тяжёлых случаях — нарушение функции тазовых органов (мочеиспускание, дефекация) [10](https://doct.ru/diseases/stenoz-pozvonochnogo-kanala-spinalniy-stenoz.html).\n\n## Диагностика\nДля диагностики стеноза позвоночного канала используют: \n* **МРТ** — основной метод для оценки степени сужения и состояния нервных структур [10](https://doct.ru/diseases/stenoz-pozvonochnogo-kanala-spinalniy-stenoz.html). \n* **КТ** — уточняет детали костных изменений и грыжи дисков [10](https://doct.ru/diseases/stenoz-pozvonochnogo-kanala-spinalniy-stenoz.html). \n* **Электронейромиографию** — для оценки функции нервных корешков [10](https://doct.ru/diseases/stenoz-pozvonochnogo-kanala-spinalniy-stenoz.html). \n* **Функциональные тесты** — тесты с изменением положения тела (наклоны, повороты) — помогают оценить подвижность позвоночника и степень его сужения [13](https://smartclinicspb.ru/zabolevaniy/spinalnyj-stenoz-klassifikacziya-metody-diagnostiki-simptomy-i-lechenie/).\n\n## Лечение\nВыбор способа лечения зависит от выраженности симптомов и причины сужения [5](https://institut-clinic.ru/absoljutnyj-stenoz-pozvonochnogo-kanala/). **На ранних стадиях** допускается консервативная терапия, **в запущенных случаях** — операция [2](https://ona-clinic.ru/nevrologiya/stenoz-pozvonochnogo-kanala/). \n\n**Некоторые методы операций**: \n* **Декомпрессия** — удаление структур, сдавливающих нервы (ламинотомия, фасетэктомия) [2](https://ona-clinic.ru/nevrologiya/stenoz-pozvonochnogo-kanala/). \n* **Стабилизация позвоночника** — спондилодез с имплантами [2](https://ona-clinic.ru/nevrologiya/stenoz-pozvonochnogo-kanala/). \n\n**Послеоперационный стеноз** возникает из-за рубцово-спаечного процесса или из-за изменения биомеханики позвоночника после хирургических вмешательств [5](https://institut-clinic.ru/absoljutnyj-stenoz-pozvonochnogo-kanala/).","linksData":[{"sourceId":1,"url":"https://zdravclinic.ru/bolezni/stenoz-pozvonochnogo-kanala/","shownUrl":"https://zdravclinic.ru/bolezni/stenoz-pozvonochnogo-kanala/","title":"Стеноз позвоночного канала: диагностика и лечение в Москве","shortUrl":"zdravclinic.ru","isTranslated":false,"description":"","greenUrl":"zdravclinic.ru"},{"sourceId":2,"url":"https://ona-clinic.ru/nevrologiya/stenoz-pozvonochnogo-kanala/","shownUrl":"https://ona-clinic.ru/nevrologiya/stenoz-pozvonochnogo-kanala/","title":"Стеноз позвоночного канала: причины, симптомы и лечение в СПб","shortUrl":"ona-clinic.ru","isTranslated":false,"description":"","greenUrl":"ona-clinic.ru"},{"sourceId":3,"url":"https://fnkc-fmba.ru/zabolevaniya/stenoz-pozvonochnogo-kanala/","shownUrl":"https://fnkc-fmba.ru/zabolevaniya/stenoz-pozvonochnogo-kanala/","title":"Стеноз позвоночного канала: причины, симптомы и лечение всех видов заболеваний в ФНКЦ ФМБА","shortUrl":"fnkc-fmba.ru","isTranslated":false,"description":"","greenUrl":"fnkc-fmba.ru"},{"sourceId":4,"url":"https://neuros.ru/lechenie/spinnoy-mozg/degenerativnye/stenoz-pozvonochnogo-kanala/","shownUrl":"https://neuros.ru/lechenie/spinnoy-mozg/degenerativnye/stenoz-pozvonochnogo-kanala/","title":"Стеноз позвоночного канала поясничного отдела позвоночника: симптомы, лечение вторичного стеноза","shortUrl":"neuros.ru","isTranslated":false,"description":"","greenUrl":"neuros.ru"},{"sourceId":5,"url":"https://institut-clinic.ru/absoljutnyj-stenoz-pozvonochnogo-kanala/","shownUrl":"https://institut-clinic.ru/absoljutnyj-stenoz-pozvonochnogo-kanala/","title":"Абсолютный стеноз позвоночного канала: симптомы, диагностика и лечение","shortUrl":"institut-clinic.ru","isTranslated":false,"description":"","greenUrl":"institut-clinic.ru"},{"sourceId":6,"url":"https://celitel05.ru/wiki/nervnye-bolezni/stenoz-pozvonochnogo-kanala-prichiny-simptomy-lechenie/","shownUrl":"https://celitel05.ru/wiki/nervnye-bolezni/stenoz-pozvonochnogo-kanala-prichiny-simptomy-lechenie/","title":"Стеноз позвоночного канала — причины, симптомы, лечение — Справочник заболеваний. 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