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Degenerative lumbar spinal stenosis

E Shiloni, U Wald, G C Robin

    Israel Journal of Medical Sciences
    |September 1, 1980
    PubMed
    Summary
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    Degenerative lumbar spinal stenosis can cause neurogenic intermittent claudication, mimicking vascular issues. Decompressive laminectomy effectively treats this condition, enabling normal ambulation even in elderly patients.

    Area of Science:

    • Neurosurgery
    • Orthopedic Surgery
    • Spinal Disorders

    Background:

    • Degenerative multilevel disk disease in the lumbar spine can cause spinal stenosis.
    • Spinal stenosis leads to neurogenic intermittent claudication, often mistaken for aortofemoral disease.
    • Pathological changes include ligamentum flavum hypertrophy, bony ridging, and disk herniation.

    Observation:

    • Symptoms of lumbar spinal stenosis are exacerbated by lumbar lordosis and relieved by flexion.
    • Five patients with degenerative lumbar stenosis were studied.
    • Patients presented with symptoms mimicking peripheral vascular disease.

    Findings:

    • Decompressive laminectomy was performed on five patients.
    • The surgical procedure yielded satisfying results across all patients.

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  • Advanced age did not preclude successful outcomes.

    • Implications:

    • Decompressive laminectomy is an effective treatment for degenerative lumbar spinal stenosis.
    • The surgery restores normal ambulation for patients suffering from this condition.
    • This intervention offers a viable solution for neurogenic intermittent claudication.