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Definition

By Mayo Clinic staff

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Illustration of narrowed spinal canal 
Spinal stenosis

Spinal stenosis is a narrowing of one or more areas in your spine — most often in your neck or lower back. This narrowing can put pressure on the spinal cord or spinal nerves at the level of compression.

Depending on which nerves are affected, spinal stenosis can cause pain or numbness in your legs, back, neck, shoulders or arms; limb weakness and incoordination; loss of sensation in your extremities; and problems with bladder or bowel function. Pain is not always present, particularly if you have spinal stenosis in your neck.

Spinal stenosis is commonly caused by age-related changes in the spine. In severe cases of spinal stenosis, doctors may recommend surgery to create additional space for the spinal cord or nerves.

References
  1. Questions and answers about spinal stenosis. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Spinal_Stenosis/default.asp. Accessed Dec. 21, 2009.
  2. Curlee PM. Spinal stenosis. In: Canale ST, et al. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa.: Mosby Elsevier; 2007. http://www.mdconsult.com/das/book/body/176085454-4/931784364/1584/313.html#4-u1.0-B978-0-323-03329-9..50044-1--cesec14_2092. Accessed Dec. 21, 2009.
  3. Meleger AL. Cervical stenosis. In: Frontera WR, et al. Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/177277239-7/935792099/1678/9.html#4-u1.0-B978-1-4160-4007-1..50008-0--cesec8_89. Accessed Jan. 5, 2010.
  4. Bartleson JD (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 31, 2010.
  5. Isaac Z, et al. Lumbar spinal stenosis. In: Frontera WR, et al. Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/177277239-4/935690969/1678/49.html#4-u1.0-B978-1-4160-4007-1..50048-1_751. Accessed Jan. 5, 2010.
  6. Spinal stenosis. American College of Rheumatology. http://www.rheumatology.org/public/factsheets/diseases_and_conditions/stenosis.asp. Accessed Dec. 22, 2009.
  7. Cauda equina syndrome. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00362. Accessed Jan. 5, 2010.
  8. Levin K. Lumbar spinal stenosis: Treatment and prognosis. http://www.uptodate.com/home/index.html. Accessed March 3, 2010.
DS00515 March 11, 2010

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