In spinal stenosis, there is a bony narrowing of the spinal canal in which the nerve fibers run. This leads to a feeling of heaviness with fatigue in the legs as well as pain radiating into the legs. Affected patients typically complain of a reduction in walking distance, and frequent breaks become necessary. Significant differential diagnostic considerations exist to a circulatory disorder of the legs, but the symptomatology, if spinal, is very typical. The narrowing in the spinal canal is due to a thickening of the small vertebral joints by bony attachments.
In case of reduced walking distance, surgical treatment is usually necessary. Chronic processes are present, and conservative treatment can often only lead to a short-term improvement of the symptoms.
The surgical treatment of this disease is more complex. Various surgical options are available. In particular, it must be taken into account here whether there is also instability of the spinal column.
Spinal stenosis is a typical disease of older people, so that it can be assumed as a rough rule that the younger the patient with this disease, the more likely there is instability of the spine. The prognosis regarding this disease varies greatly and can only be estimated on a case-by-case basis.