Lumbar spinal stenosis.

被引：374
作者：
Katz, Jeffrey N. [1 ,2 ,3 ,4 ]
Harris, Mitchel B. [1 ,3 ]
机构：
[1] Brigham & Womens Hosp, Ctr Orthoped & Arthritis Outcomes Res, Dept Orthoped Surg, Boston, MA 02115 USA
[2] Brigham & Womens Hosp, Dept Med, Div Rheumatol Immunol & Allergy, Boston, MA 02115 USA
[3] Harvard Univ, Sch Med, Boston, MA USA
[4] Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA
来源：
NEW ENGLAND JOURNAL OF MEDICINE | 2008年 / 358卷 / 08期
关键词：
D O I：
10.1056/NEJMcp0708097
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 72-year-old woman with hypertension presents with a 4-month history of lower back discomfort that radiates to both buttocks and lateral thighs. Previously, she had walked 2 miles (3.2 km) a day; now she has difficulty walking 2 blocks and standing up for more than 15 minutes at a time. Her physical examination is notable only for a slightly stooped posture and a reduction of vibratory sensibility in both great toes. How should she be evaluated and treated? Copyright © 2008 Massachusetts Medical Society.
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页码：818 / 825
页数：8
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