Degenerative Spine
A 68-year-old man presents with a 2-year history of progressive bilateral buttock and leg pain with walking that is relieved by sitting or leaning forward on a shopping trolley. He can walk approximately 100 meters before symptoms force him to stop. Examination shows no focal weakness at rest but reduced pedal pulses. MRI demonstrates severe central canal stenosis at L4/5 with ligamentum flavum hypertrophy, facet arthrosis, and disc bulging. There is no spondylolisthesis. Regarding lumbar spinal stenosis:
Mark each as TRUE or FALSE
Lumbar spinal stenosis causes neurogenic claudication characterized by bilateral lower limb pain, he...
Stenosis can be central (canal), lateral recess (subarticular), or foraminal; pathoanatomy includes ...
Neurogenic claudication is relieved by standing still; spinal extension opens the canal; the shoppin...
Non-operative management includes physiotherapy, NSAIDs, epidural steroid injections, and activity m...
Addition of fusion to decompression is indicated for instability (spondylolisthesis, scoliosis), nee...
Answer the questions to see explanations
Click T (True) or F (False) for each option