Tandem Spinal Stenosis
Zulkefli A., and Ramanathan, R., (2010) Tandem Spinal Stenosis. Malaysian Orthopaedic Association, 4 (1). pp. 46-49. ISSN 1985 2533 Official URL: http://morthoj.org AffiliationsHospital Raja Permaisuri Bainun, Ipoh, Malaysia, Dept. of Orthopaedic Hospital Raja Permaisuri Bainun, Ipoh, Malaysia, Dept. of Orthopaedic AbstractA 42 years old gentleman presented with predominant low
back pain associated with bilateral lower limb neurological
deficit leading to an initial diagnosis of lumbar stenosis.
Further history taking and examination revealed upper limb
neurological deficit, and the lower limbs actually presented
with upper motor neuron instead of lower motor neuron
signs. Imaging studies confirmed the clinical findings with
presence of both cervical and lumbar spinal stenosis. Two stage decompression procedures were performed at 6 monthintervals starting with cervical decompression. Postoperative improvement was noted on follow-up. This case
highlights the importance of accurate diagnosis of cervical
pathology for patients presenting with or referred for
predominantly lumbar symptomology. Repository Staff Only: item control page
|