Degenerative Spine
A 72-year-old man presents with progressive bilateral leg pain and numbness that worsens with walking and standing. He finds relief when leaning forward on a shopping cart. He can cycle without symptoms. Examination shows reduced lumbar extension, weak ankle dorsiflexion bilaterally, and diminished ankle reflexes. MRI shows multilevel central canal stenosis. Regarding lumbar spinal stenosis and neurogenic claudication:
Mark each as TRUE or FALSE
Lumbar spinal stenosis results from degenerative changes including disc bulging, facet hypertrophy, ...
Neurogenic claudication is characterized by bilateral leg pain, numbness, and weakness that develops...
Stenosis is caused by disc herniation alone; extension increases canal dimensions; neurogenic claudi...
Conservative treatment includes physical therapy (flexion-based exercises), NSAIDs, epidural steroid...
Surgical options include laminectomy (single or multilevel), laminotomy, and minimally invasive tech...
Answer the questions to see explanations
Click T (True) or F (False) for each option