Lumbar Spinal Stenosis

Question 1

How can lumbar spinal stenosis be differentiated from disc herniation?

Answer 1

Herniated disc will have increased pain with valsalva maneuver.

Question 2

What is the surgical treatment for lumbar spinal stenosis?

Answer 2

Wide pedicle-to-pedicle decompression; can add fusion if decompression causes instability

Question 3

What is the treatment for infection after lumbar decompression and fusion for lumbar spinal stenosis?

Answer 3

I&D with IV antibiotics