Neurogenic Claudication-Operative Management (Decompression and Fusion)

Hormuzdiyar H. Dasenbrock, Reza Yassari, Timothy F Witham

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Neurogenic claudication describes buttock and leg pain that develops upon ambulation and may be relieved with rest, sitting or flexion of the spine. Spinal stenosis refers to a narrowing of the caliber of the spinal canal: the resultant compression of neural structures and the microvasculature can lead to the development of neurogenic claudication. Patients with spinal stenosis who continue to be symptomatic despite a reasonable trial of conservative therapy may benefit from surgical decompression. A fusion operation is often performed in addition to decompression if there is evidence of gross instability from spondylolisthesis, spinal deformity, or concern for the development of iatrogenic post-operative instability (due to extensive resection of the facet joints). Although the peri-operative mortality of patients undergoing decompression with or without fusion is low, there are a number of immediate post-operative complications that can occur, including surgical site infections and nerve root injury from instrumentation misplacement. Potential long-term complications include instrumentation failure, adjacent segment disease, and pseudoarthrosis.

Original languageEnglish (US)
Title of host publicationEvidence-Based Orthopedics
PublisherWiley-Blackwell
Pages686-693
Number of pages8
ISBN (Print)1405184760, 9781405184762
DOIs
StatePublished - Oct 31 2011

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Keywords

  • Degenerative spondylolisthesis
  • Lumbar spine
  • Neurogenic claudication
  • Post-operative complications
  • Spinal decompression
  • Spinal fusion
  • Spinal stenosis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Dasenbrock, H. H., Yassari, R., & Witham, T. F. (2011). Neurogenic Claudication-Operative Management (Decompression and Fusion). In Evidence-Based Orthopedics (pp. 686-693). Wiley-Blackwell. https://doi.org/10.1002/9781444345100.ch80