Diagnosis and Treatment of Degenerative Lumbar Spinal Stenosis
Degenerative lumbar spinal stenosis describes a condition in which there is diminished space available for the neural and vascular elements in the lumbar spine secondary to degenerative changes in the spinal canal. When symptomatic, this causes a variable clinical syndrome of gluteal and/or lower extremity pain and/or fatigue which may occur with or without back pain. Symptomatic lumbar spinal stenosis has certain characteristic provoc- ative and palliative features. Provocative features include upright exercise such as walking or positionally-induced neurogenic claudication. Palliative features commonly include symptomatic relief with forward exion, sitting and/or recumbency.
North American Spine Society “NASS” Clinical guidelines adopted by the Saudi Spine Society.