Central Lumbar Stenosis Causes and Effects
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Questions and Answers

What structure in the lumbar region primarily contributes to central lumbar stenosis?

  • Overgrowth of facet joints (correct)
  • Compression from surrounding muscles
  • Neural foramina enlargement
  • Herniated disc
  • Which of the following correctly describes the impact of central lumbar stenosis on neurological function?

  • It leads to unilateral neural compromise.
  • It does not cause any significant neurological symptoms.
  • It only affects motor functions.
  • All dermatomes and myotomes below the affected area are compromised. (correct)
  • Which condition is a result of abnormal motion in the lumbar spine associated with central lumbar stenosis?

  • Herniated disc
  • Cervical radiculopathy
  • Spondylolisthesis (correct)
  • Sciatica
  • What is a result of ligamentum flavum hypertrophy in the context of lumbar spinal issues?

    <p>Posterior canal compromise</p> Signup and view all the answers

    What type of stenosis occurs bilaterally in the context of central lumbar issues?

    <p>Bilateral central stenosis</p> Signup and view all the answers

    Signup and view all the answers

    Study Notes

    Central Lumbar Stenosis

    • Narrowing of the lumbar spinal column.
    • Compression of the spinal cord.
    • Ligaments originating from the back contribute to the compression.
    • Compression also occurs from lateral aspects.
    • Overgrowth on facet joints and calcification of ligaments contribute to the spinal narrowing.
    • Condition is often bilateral (affects both sides).
    • All sensory (dermatomes) and motor (myotomes) functions below the affected level are likely affected.

    Causes of Spinal Compression

    • Abnormal spinal movement (spondylolisthesis). Spondylolisthesis can be either anterior (ante) or posterior (retro).
    • Compression at specific vertebral levels (e.g., C3-4, C4-5, though the context refers to lumbar stenosis)
    • Thickening of the ligamentum flavum (posterior spinal canal compromise).

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    Description

    Explore the critical aspects of central lumbar stenosis, including the compression of the spinal cord and factors contributing to spinal narrowing. Understand the role of abnormal spinal movements such as spondylolisthesis and the effects on sensory and motor functions below the affected level.

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