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Tandem Spinal Stenosis

Zulkefli A., and Ramanathan, R., (2010) Tandem Spinal Stenosis. Malaysian Orthopaedic Association, 4 (1). pp. 46-49. ISSN 1985 2533

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Official URL: http://morthoj.org

Affiliations

Hospital Raja Permaisuri Bainun, Ipoh, Malaysia, Dept. of Orthopaedic
Hospital Raja Permaisuri Bainun, Ipoh, Malaysia, Dept. of Orthopaedic

Abstract

A 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.

Item Type:Journal
Keywords:Tandem Spinal Stenosis, back pains, lower limb neurological deficit
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:10507

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