Degenerative Spine
A 68-year-old man presents with bilateral leg pain and weakness that worsens when walking and is relieved by sitting or leaning forward (shopping cart sign). He has been limiting his walking distance progressively over 2 years. Neurological examination is normal at rest. MRI shows central canal stenosis at L4-5 with ligamentum flavum hypertrophy and facet joint arthropathy. Regarding lumbar spinal stenosis:
Mark each as TRUE or FALSE
Neurogenic claudication is the hallmark symptom: leg pain, weakness, or numbness with walking that i...
Stenosis results from degenerative changes including ligamentum flavum hypertrophy, facet joint hype...
Vascular claudication is the hallmark of spinal stenosis; symptoms are worse with sitting; standing ...
Conservative treatment includes physical therapy (flexion-based exercises), NSAIDs, and epidural ste...
The SPORT trial showed surgical decompression provides greater improvement in pain and function than...
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Click T (True) or F (False) for each option