Direct measurements were made on 2,166 lumbar vertebrae of 433 adult negro and caucasoid skeletons. On statistical analysis, forty-five vertebrae in twenty-seven skeletons were found to be stenotic, the mid-sagittal diameter being the significantly reduced dimension. Whereas spinal stenosis syndromes are rare in South African negroes, the lumbar canal is marginally narrower in the negro. There ...

BACKGROUND CONTEXT Significant lumbar spinal stenosis and lower extremity arthritis may coexist in the elderly. This combination of lumbar stenosis with radiculopathy and lower extremity arthritis may lead to diagnostic uncertainty. PURPOSE To describe the findings of hip spine syndrome, a constellation of symptoms with extensive overlap of radiculopathy and lower extremity arthritis. CONCL...

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...

Spinal stenosis and degenerative spondylolisthesis share many symptoms and the same treatment, but their causes remain unclear. Bone mineral density has been suggested to play a role. The aim of this study was to investigate differences in spinal bone density between spinal stenosis and degenerative spondylolisthesis patients. 81 patients older than 60 years, who underwent DXA-scanning of their...

BACKGROUND When spinal fusion is applied to degenerative lumbar spinal disease with instability, adjacent segment disorder will be an issue in the future. However, decompression alone could cause recurrence of spinal canal stenosis because of increased instability on operated segments and lead to revision surgery. Covering the disadvantages of both procedures, we applied nonfusion stabilization...