PURPOSE The aim of our study was to compare the efficacy of physical therapy alone and in combination with calcitonin in patients with neurogenic claudication (NC). MATERIALS AND METHODS In this single blind, and randomized study, patients with lumbar spinal canal stenosis who were diagnosed by clinical findings and MRI and having NC were included. Patients were observed for 8 weeks and evalu...

BACKGROUND Hypertrophy of the ligamentum flavum (LF) has been considered as a major cause of lumbar central spinal stenosis (LCSS). Previous studies have found that ligamentum flavum thickness (LFT) is correlated with aging, disc degeneration, and lumbar spinal stenosis. However, hypertrophy is different from thickness. Thus, to evaluate hypertrophy of the whole LF, we devised a new morphologic...

A clinico-radiological analysis of 74 cases of ossification of the posterior longitudinal ligament is reported. Eighteen cases (24%) were asymptomatic or only had neck or shoulder pain; 16 cases (22%) showed signs of radiculopathy, and the remaining 40 cases (54%) had myelopathy. Ossification of the posterior longitudinal ligament developed most frequently at C5, and was rare in thoracic and lu...

BACKGROUND Extensive decompression with laminectomy, where appropriate, is often still described as the method of choice when operating on degenerative lumbar spinal stenosis. Nonetheless, tissue-sparing procedures are becoming more common. Endoscopic techniques have become the standard in many areas because of the surgical advantages they offer and the benefits for rehabilitation. One key issu...

BACKGROUND The dilemma in managing patients with low back ache lies in differentiating radiculopathy from lumbar canal stenosis. This has a huge bearing in patients being planned for surgical intervention as underperforming leads to failed back syndrome whereas over-doing leads to instability. There still remains a loophole in clinically diagnosing lumbar canal stenosis. AIM We opt to utilize...

Background: The dilemma in managing patients with low back ache lies in differentiating radiculopathy from lumbar canal stenosis. This has a huge bearing in patients being planned for surgical intervention as underperforming leads to failed back syndrome whereas over‐doing leads to instability. There still remains a loophole in clinically diagnosing lumbar canal stenosis. Aim: We opt to utilize...

Degenerative disease of the lumbar spine refers to a syndrome in which an intervertebral disc with adjacent spine structures is compromised, this can be due to aging process associated with pathology. Thirty five percent of asymptomatic individuals may have degenerative spine findings, including: disc degeneration, modic changes, disc bulges, facet joint arthropathy and spinal stenosis. Plain r...

Objectives: The aim of this study is to evaluate the relationship between spinal canal cross-sectional area (SCCSA) at stenosis level, areas multifidus (MF) muscle L3-S1 levels, and psoas (PSCSA) L3 level in patients with nerve compression due lumbar stenosis. Methods: A total 280 were included study, 140 control group that had been detected magnetic resonance imaging (MRI). patients' ages, gen...

The most common cause of lumbar spinal canal stenosis is age-related degenerative changes. ligamentum flavum said to become thicker and stiffer with age, based on several histological cadaver studies. However, there are no studies determining the changes mechanical properties in live patients. We examined patients evaluated A total 44 undergoing decompression surgery due disease at our institut...