Chapter

Lumbar Spinal Stenosis

David A. Mazin and Mehul J. Desai

in The Spine Handbook

Published on behalf of Oxford University Press

Published in print May 2018 | ISBN: 9780199350940
Published online June 2018 | e-ISBN: 9780199390793 | DOI: https://dx.doi.org/10.1093/med/9780199350940.003.0016
Lumbar Spinal Stenosis

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  • Pain Medicine
  • Rehabilitation Medicine
  • Spinal Surgery

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Lumbar spinal stenosis (LSS) is a common, painful spine condition. It generally occurs in older patients who have degenerative changes in the lumbar spine. A careful history will aid in the appropriate diagnosis of LSS, although the physical examination findings may be nonspecific. While exact diagnostic criteria for LSS have not been agreed upon, radiologic and electrodiagnostic studies can help confirm the diagnosis. Treatment generally progresses from conservative to aggressive. High-quality evidence regarding definitive treatment options is lacking, so therapeutic options should be discussed on a case-by-case basis.

Chapter.  3865 words.  Illustrated.

Subjects: Pain Medicine ; Rehabilitation Medicine ; Spinal Surgery

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