Severe lumbar spinal stenosis with cauda equina compression

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Lower back and buttock pain.

Patient Data

Age: 60
Gender: Male

 

L4/5: grade I anterolisthesis, uncovering and posterior bulge of the disc, ligamentum flavum hypertrophy and facet joint arthropathy all contribute to severe central canal stenosis and compression of the cauda equina, with complete effacement of the thecal sac. 

Case Discussion

Lumbar spinal stenosis is a very common indication of surgery, with most patients complaining of radiculopathic pain. 

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