Condition typically resulting from degenerative changes in the lumbar spine.
Neurogenic claudication characterized by back and leg pain and lower extremity paresthesia brought on by ambulation and relieved by sitting.
Lumbosacral spine radiographs and CT scans show degenerative changes and possibly spondylolisthesis, but MRI is the best technique to show neural element compression in the spinal canal and foramina.
Initially treated with nonsteroidal anti-inflammatory drugs (NSAIDs) and physical therapy. Epidural corticosteroid injections may provide symptomatic relief.
More severe or persistent symptoms that significantly interfere with function are likely to benefit from decompressive spinal surgery, possibly with fusion if there is degenerative spondylolisthesis or degenerative scoliosis.
Neurologic deficit including sensory or motor loss occurs in up to 30% of patients, and patients may experience severe morbidity from reduction in the ability to walk.
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