Patients with lumbar spinal stenosis require surgery if necessary, but this therapy should be avoided whenever possible. Generally, when there is a movement disorder and compression of the cauda equina nerve, laminectomy or decompression surgery may be considered. At the same time, if the long-term conservative treatment effect is not significant, and there are complications such as neural adhesion loosening, it should also be treated by surgical methods in time.

　　For those who have been diagnosed as For patients with lumbar spinal stenosis, they will be more eager to find a suitable method of treatment, so as to eliminate the discomfort of lumbar spine pain. There are many patients who may be advised by a doctor to perform a surgical operation, and at this time they will have some troubles. Does lumbar spinal stenosis require surgical treatment?
　　First, does lumbar spinal stenosis require surgical treatment?
　　Lumbar spinal stenosis requires timely surgical treatment when the condition is serious, but surgical therapy should be the final choice. The main reason is that a large amount of nerve tissue is distributed in the lumbar spinal canal. Even minimally invasive surgery will inevitably cause damage and even leave sequelae. Therefore, it is best for patients to check to see if they have the indications for surgery, and then decide on the specific treatment method.
　　Second, when does lumbar spinal stenosis require surgery?
　　1. People with mobility impairment
　　If the condition of lumbar spinal stenosis is progressively worsened It has affected limb movements and has symptoms such as unstable walking or intermittent claudication, which requires timely decompression or resection of the lamina. In this way, the focus can be removed in a short time, and the patient''s mobility can be restored.
　　2. Compression of cauda equina
　　Once the lumbar spinal stenosis causes compression of the cauda equina, no matter whether there are symptoms of bladder or bowel disorders, it is best to receive nerve root decompression. Surgical treatment. At this time, the main purpose of the operation is to relieve the compression of the cauda equina nerve, prevent the neurological dysfunction from aggravating, and avoid further deterioration of his own condition.
　　3. Conservative treatment is not effective
　　If the patient has received medical conservative or traditional Chinese medicine acupuncture, massage and other treatments, but still does not show the effect when more than three courses, You need to consider laminectomy or anterior and posterior decompression.
　　4. Other conditions
　　If the examination is found to be a mixed spinal stenosis, or there is a type of concurrency such as loosening of neural adhesions, enlargement of neural tube, and hypertrophy of ligamentum flavum For illnesses, targeted surgical operations such as nerve root canal enlargement and local excision surgery are also required.