- Dedication
- Preface
- Contributors
- Chapter 1 History and Examination of the Spine
- Chapter 2 Clinical Imaging of the Spine
- Chapter 3 Behavioral Assessment of the Spine Patient
- Chapter 4 Cervical Disc Disease and Extremity Pain
- Chapter 5 Cervical Facet Dysfunction
- Chapter 6 Cervical Spinal Stenosis
- Chapter 7 Cervical Spine Trauma
- Chapter 8 Degenerative Conditions of the Cervical Spine
- Chapter 9 Thoracic Disc Disease
- Chapter 10 Thoracic Facet Dysfunction/Costotransverse Joint Pathology
- Chapter 11 Thoracic Spinal Stenosis
- Chapter 12 Intercostal Neuralgia and Thoracic Radiculopathy
- Chapter 13 Lumbar Disc Disorders
- Chapter 14 Lumbar Facet Arthropathy
- Chapter 15 Lumbar Spondylolisthesis
- Chapter 16 Lumbar Spinal Stenosis
- Chapter 17 Lumbar Radiculopathy and Radicular Pain
- Chapter 18 Surgical Approaches for Degenerative Lumbar Stenosis
- Chapter 19 Sacroiliac Joint Dysfunction
- Chapter 20 Sacroiliac Joint Fusion: Percutaneous and Open
- Chapter 21 Spinal Deformity and Scoliosis
- Chapter 22 Approaches and Relative Benefits of Open Versus Minimally Invasive Surgery for Degenerative Conditions
- Chapter 23 Spinal Tumors: Surgical Considerations and Approaches
- Chapter 24 Pelvic Pain and Floor Dysfunction
- Chapter 25 Core Strengthening
- Chapter 26 Ultrasound-Guided Spine Interventions
- Chapter 27 Biologic and Regenerative Therapies
- Chapter 28 Platelet-Rich Plasma Injections
- Chapter 29 Opioids in Spine Pain: Indications, Challenges, and Controversies
- Chapter 30 Sympathetic Blockade of the Spine
- Chapter 31 Post Spine Surgery Syndrome
- Chapter 32 Intrathecal Pumps
- Chapter 33 Spinal Cord Stimulation
- Chapter 34 Peripheral Nerve Stimulation
- Index
(p. 315) Lumbar Spinal Stenosis
- Chapter:
- (p. 315) Lumbar Spinal Stenosis
- Author(s):
David A. Mazin
, and Mehul J. Desai
- DOI:
- 10.1093/med/9780199350940.003.0016
Lumbar spinal stenosis (LSS) is a common, painful spine condition. It generally occurs in older patients who have degenerative changes in the lumbar spine. A careful history will aid in the appropriate diagnosis of LSS, although the physical examination findings may be nonspecific. While exact diagnostic criteria for LSS have not been agreed upon, radiologic and electrodiagnostic studies can help confirm the diagnosis. Treatment generally progresses from conservative to aggressive. High-quality evidence regarding definitive treatment options is lacking, so therapeutic options should be discussed on a case-by-case basis.
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- Dedication
- Preface
- Contributors
- Chapter 1 History and Examination of the Spine
- Chapter 2 Clinical Imaging of the Spine
- Chapter 3 Behavioral Assessment of the Spine Patient
- Chapter 4 Cervical Disc Disease and Extremity Pain
- Chapter 5 Cervical Facet Dysfunction
- Chapter 6 Cervical Spinal Stenosis
- Chapter 7 Cervical Spine Trauma
- Chapter 8 Degenerative Conditions of the Cervical Spine
- Chapter 9 Thoracic Disc Disease
- Chapter 10 Thoracic Facet Dysfunction/Costotransverse Joint Pathology
- Chapter 11 Thoracic Spinal Stenosis
- Chapter 12 Intercostal Neuralgia and Thoracic Radiculopathy
- Chapter 13 Lumbar Disc Disorders
- Chapter 14 Lumbar Facet Arthropathy
- Chapter 15 Lumbar Spondylolisthesis
- Chapter 16 Lumbar Spinal Stenosis
- Chapter 17 Lumbar Radiculopathy and Radicular Pain
- Chapter 18 Surgical Approaches for Degenerative Lumbar Stenosis
- Chapter 19 Sacroiliac Joint Dysfunction
- Chapter 20 Sacroiliac Joint Fusion: Percutaneous and Open
- Chapter 21 Spinal Deformity and Scoliosis
- Chapter 22 Approaches and Relative Benefits of Open Versus Minimally Invasive Surgery for Degenerative Conditions
- Chapter 23 Spinal Tumors: Surgical Considerations and Approaches
- Chapter 24 Pelvic Pain and Floor Dysfunction
- Chapter 25 Core Strengthening
- Chapter 26 Ultrasound-Guided Spine Interventions
- Chapter 27 Biologic and Regenerative Therapies
- Chapter 28 Platelet-Rich Plasma Injections
- Chapter 29 Opioids in Spine Pain: Indications, Challenges, and Controversies
- Chapter 30 Sympathetic Blockade of the Spine
- Chapter 31 Post Spine Surgery Syndrome
- Chapter 32 Intrathecal Pumps
- Chapter 33 Spinal Cord Stimulation
- Chapter 34 Peripheral Nerve Stimulation
- Index