Degenerative Spine
A 68-year-old man presents with a 2-year history of progressive bilateral leg pain, numbness, and weakness when walking. He can only walk 100 meters before needing to rest. Symptoms are relieved by sitting or leaning forward on a shopping cart. He has minimal back pain. MRI shows multilevel central canal stenosis at L3-4 and L4-5 with ligamentum flavum hypertrophy and facet arthropathy. Regarding lumbar spinal stenosis:
Mark each as TRUE or FALSE
Lumbar spinal stenosis is narrowing of the spinal canal, lateral recess, or neural foramina; causes ...
Neurogenic claudication is the hallmark symptom: bilateral leg pain, numbness, and weakness with wal...
Neurogenic claudication is unilateral; symptoms are worse when sitting; standing still relieves symp...
Non-operative treatment includes activity modification, physical therapy (flexion-based exercises), ...
Surgical options include decompressive laminectomy (removing lamina, ligamentum flavum, medial facet...
Answer the questions to see explanations
Click T (True) or F (False) for each option