Lumbar Spinal Stenosis Requiring Decompression and Fusion
Stenosis and spinal instability due to lumbar degenerative disease is associated with aging and often requires surgical treatment to provide decompression, clinical improvement and stabilization. We present a 78-yo female patient, with neurological claudication, treated with laminectomy of L4 and fusion at t L4-L5 with screws and rods. With this case we would like to illustrate the decision making process in a patient with symptomatic stenosis and pathological hypermobility requiring fusion after the decompression. We discuss the indications and evidence in favor of fusion in cases where instability is manifest.