BACKGROUND CONTEXT The evidence-based clinical guideline on the diagnosis and treatment of degenerative lumbar spinal stenosis by the North American Spine Society (NASS) provides evidence-based recommendations to address key clinical questions surrounding the diagnosis and treatment of degenerative lumbar spinal stenosis. The guideline is intended to reflect contemporary treatment concepts for ...

1. Ciol – J Am Geriatr Soc 1996 OVERVIEW Lumbar spinal stenosis (LSS) is the most common reason for spine surgery in people over the age of 65 in the United States.1 This program will cover the clinical issues around LSS: clinical presentation, diagnosis, and treatments. The various treatment options for the symptoms of LSS that will be presented include: non-operative care, surgical interventi...

From the Department of Orthopedic Surgery ( J.N.K., M.B.H.) and the Division of Rheumatology, Immunology, and Allergy, Department of Medicine, Brigham and Women’s Hospital (J.N.K.); Harvard Medical School ( J.N.K., M.B.H.); and Harvard School of Public Health ( J.N.K.) — all in Boston. Address reprint requests to Dr. Katz at the Center for Orthopedic and Arthritis Outcomes Research, Brigham and...

Symptoms for spinal stenosis apparently result from an incongruity between the capacity and contents of the spinal nerve passages. These symptoms are most frequently seen in men in their fifth or sixth decade of life. Spinal extension generally exacerbates the claudication-type symptoms (lower-extremity pain and paresthesia), whereas spinal flexion diminishes these symptoms. Differential diagno...

Although narrowing of the cervical canal has been well recognised for many years (Pallis, Jones and Spillane 1954; Wolf, Khilnani and Malis 1956; Payne and Spillane 1957; Hinck, Gordy and Storino 1964; Hinck and Sachdev 1966) a similar and equally important condition of the lumbar canal has until recent years remained relatively neglected in the literature. In 1925 Donath and Vogl first describ...

BACKGROUND Spinal canal stenosis is one of the most common causes of low back pain and disability. Its management varies from surgical to conservative, and the indications for ideal management are not clearly defined. OBJECTIVES This study was conducted to evaluate the effect of adding calcitonin to local anesthetic and corticosteroid in epidural injection for patients suffering from degenera...

VOL. 76-B, No. 4, JULY i994 Decompression laminectomy at L4 to Ii was performed in January 1993. The ligamentum flavum was severely thickened and the epidural space contained a white toothpaste-like material. The patient was relieved of her symptoms immediately after the operation. Tissue obtained from the spinal canal revealed crystals typical of calcium pyrophosphate when viewed by polarised ...

A 42 years old gentleman presented with predominant low back pain associated with bilateral lower limb neurological deficit leading to an initial diagnosis of lumbar stenosis. Further history taking and examination revealed upper limb neurological deficit, and the lower limbs actually presented with upper motor neuron instead of lower motor neuron signs. Imaging studies confirmed the clinical f...

Spinal stenosis was described, for the first time, as one of the causes of neural compression by Bailey and Casamajor (1) in 1911. Later, in 1954, it was described by Verbiest (2) as the typical clinical presentation of bilateral neurogenic claudication, which is provoked by prolonged standing and lower back extension and relieved by sitting and flexing the lumbar spine. Degenerative lumbar spi...