Treatment options for lumbar spinal stenosis in the elderly - an evidence based approach to a staged stepwise surgical treatment

S pinal stenosis is found frequently in the elderly, especially after the age of 55. The condition has become increasingly symp tomatic of longer life expectancy and a more active life style in the senior age group. Symptoms can range from an occasional, spontaneously reversible backache and claudication to full blown severe walking difficulties. More severe presentations of this condition frequently lead to a more rapid advancement of other existing co-morbidities such as Diabetes Mellitus and Ischemic Heart Diseases, which require the ability to regularly exercise in order to maintain good control over the condition. Treatment options for lumbar spinal stenosis in the elderly an evidence based approach to a staged stepwise surgical treatment