A Review of Lumbar Spinal Stenosis with Intermittent Neurogenic Claudication: Disease and Diagnosis

Author:

Deer Timothy1,Sayed Dawood2,Michels John3,Josephson Youssef4,Li Sean5,Calodney Aaron K6

Affiliation:

1. The Spine and Nerve Center of the Virginias, Charleston, West Virginia

2. The University of Kansas Medical Center, Kansas City, Kansas

3. Interventional Spine and Pain, Dallas, Texas

4. The Pain Management Center, Hamilton, New Jersey

5. Premier Pain Centers, Shrewsbury, New Jersey

6. Precision Spine Care, Texas Spine and Joint Hospital, Tyler, Texas, USA

Abstract

Abstract Objective Lumbar spinal stenosis (LSS) is a degenerative spinal condition affecting nearly 50% of patients presenting with lower back pain. The goal of this review is to present and summarize the current data on how LSS presents in various populations, how it is diagnosed, and current therapeutic strategies. Properly understanding the prevalence, presentation, and treatment options for individuals suffering from LSS is critical to providing patients the best possible care. Results The occurrence of LSS is associated with advanced age. In elderly patients, LSS can be challenging to identify due to the wide variety of presentation subtleties and common comorbidities such as degenerative disc disease. Recent developments in imaging techniques can be useful in accurately identifying the precise location of the spinal compression. Treatment options can range from conservative to surgical, with the latter being reserved for when patients have neurological compromise or conservative measures have failed. Once warranted, there are several surgical techniques at the physician’s disposal to best treat each individual case.

Publisher

Oxford University Press (OUP)

Subject

Anesthesiology and Pain Medicine,Clinical Neurology,General Medicine

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