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Intermediate Technical IVT

lateral recess stenosis

Narrowing of the lateral spinal canal where nerve roots exit the thecal sac.

Full Definition

Lateral recess stenosis refers to narrowing of the lateral gutters of the spinal canal, the areas where individual nerve roots travel from the thecal sac toward the neural foramina. This condition typically results from degenerative changes including facet arthropathy, ligamentum flavum hypertrophy, and disc bulging. Unlike central canal stenosis, lateral recess stenosis often causes unilateral radicular symptoms. Surgical treatment involves targeted decompression of the affected lateral recess while preserving spinal stability.

Usage

Usage note: Specify laterality (left/right) when documenting.

In Context

  • "MRI revealed severe left lateral recess stenosis at L4-L5 with nerve root compression." — Imaging interpretation
  • "The surgeon performed a partial medial facetectomy to address lateral recess stenosis." — Operative technique description

Also known as

subarticular stenosis nerve root entrapment zone stenosis

Don't confuse with

central canal stenosis foraminal stenosis

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