lumbar spinal stenosis Flashcards
1
Q
what is lumbar spinal stenosis (LSS)?
A
a condition in which the central canal is narrowed by tumour, disc prolapse or other similar degenerative changes
2
Q
how do pts with LSS present?
A
- back pain
- neuropathic pain
- sx mimicking claudication
3
Q
how do you differentiate claudication from LSS from true claudication?
A
positional element to the pain
- sitting is better than standing
- easier to walk uphill rather than downhill
4
Q
how do you dx LSS?
A
MRI scan to demonstrate canal narrowing
5
Q
what is the rx for LSS?
A
laminectomy
