Journal
RHEUMATIC DISEASE CLINICS OF NORTH AMERICA
Volume 44, Issue 3, Pages 501-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.rdc.2018.03.008
Keywords
Lumbar spinal stenosis; Low back pain; Magnetic resonance imaging; Decompression surgery; Epidural steroid injection
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Lumbar spinal stenosis (LSS) is a frequent cause of low back pain among adults, caused by a narrowing impinging on the spinal cord or nerve roots. Several conditions cause LSS, including disc herniation, spondylolisthesis, tumor, fractures, and other degenerative changes. Back pain is frequently experienced. MRI is the radiologic modality of choice. Radiographic evidence of LSS may not correlate well with symptoms. An increase in utilization of surgery has been noted. However, surgery has no significant benefit over more conservative options. An appropriate risk-benefit discussion between the patient and an interdisciplinary medical team is optimal.
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