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Spine Lumbar Spinal Stenosis - Brigham and Women's …

Standard of Care: Lumbar Spinal Stenosis /Physical Therapy Management Copyright 2008 The Brigham and Women's Hospital, Inc. Department of Rehabilitation Services. All rights reserved. 1 Standard of Care: Lumbar Spinal Stenosis /Physical Therapy Management Case Type / Diagnosis: Spinal Stenosis refers to a narrowing of the vertebral canal, intervertbral foramen, or both due to either osseous or soft tissue encroachment. Arnoldi et al. classified Lumbar Spinal Stenosis by etiology as either developmental/ primary or degenerative/secondary. primary Stenosis is caused by congenital malformations or defects in postnatal development and occurs rarely.

causes of secondary stenosis are fractures, tumors, infection or systemic diseases such as Paget’s disease. Combinations of primary and secondary stenosis can occur and are termed as mixed. Anatomically, lumbar spinal stenosis can be classified as either central or lateral. 2.

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