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The Journal of Bone and Joint Surgery 80:1053-66 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Current Concepts Review

Current Concepts Review - Degenerative Lumbar Spinal Stenosis*

JEFFREY M. SPIVAK, M.D.{dagger}, NEW YORK, N.Y.


   Introduction
 
Over the last ten years, the median age of the United States population has increased by 1.4 years, with more than two million additional people who are sixty-five years old or more91. As the population continues to age, more older people are maintaining an active lifestyle. Consequently, functional limitation and pain due to symptomatic degenerative disease of the spine is becoming more common. Lumbar spinal stenosis remains one of the most frequently encountered, clinically important degenerative spinal disorders in the aging population.


   Definition and Classification
 
Lumbar spinal stenosis is defined as a narrowing of the spinal canal that produces compression of the neural elements before their exit from the neural foramen3,84. The narrowing may be limited to a single motion segment (two adjacent vertebrae and the intervening intervertebral disc, facet joints, and supporting ligaments) or it may be more diffuse, spanning two motion segments or more. Lumbar spinal stenosis can be . . . [Full Text of this Article]


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