• 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

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