- Present with neurogenic claudication
- Conservative management : 85% of patient remained symptomatic over 4 years
- Epidural injections are frequently used as a first approach
- Spine (Phila Pa 1976), June 15, 2010: Surgically treated – greater improvement
- N Engl J Med, April 24, 2016 : No benefit of fusion
- JBJS-Am, November 16, 2016 : Instrumentation –no use
- Complications following surgery are epidural hematoma, dural tears, infection, instability, failure of hardware, nerve root injury etc