ABSTRACT

Spinal stenosis is narrowing of the spinal canal, nerve root canals and neural foramens. Nar-rowing can be caused by bone or soft tissue structures or both. Low back pain, neural claudi-cation and neural deficits can be seen clinicaly. In treatment, generally non operative treatments prefferred. Patients who have neural claudicati-on and severe pain and conservative treatment did not effect can be treated by surgical decomp-ression that is excision of the compressive structures. Inadequate decompression can cause progression of the symptoms. Radical decompression procedures can cause instability of the spine. In these conditions spinal fusion and inst-rumentation could be needed