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Previous Volume 358:818-825 February 21, 2008 Number 8 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

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 . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Diagnosis

            History

            Physical Examination

            Differential Diagnosis

            Imaging

            Other Testing

Treatment

            Nonoperative Management

            Operative Management

Areas of Uncertainty

Guidelines from Professional Societies

Conclusions and Recommendations

Source Information

From the Department of Orthopedic Surgery (J.N.K., M.B.H.) and the Division of Rheumatology, Immunology, and Allergy, Department of Medicine, Brigham and Women's Hospital (J.N.K.); Harvard Medical School (J.N.K., M.B.H.); and Harvard School of Public Health (J.N.K.) — all in Boston.

Address reprint requests to Dr. Katz at the Center for Orthopedic and Arthritis Outcomes Research, Brigham and Women's Hospital, 75 Francis St., B3, Boston, MA 02115, or at jnkatz@partners.org.

Related Letters:

Lumbar Spinal Stenosis
Kortebein P., Rhon D., van Gijn J., Katz J. N., Harris M. B.
Extract | Full Text | PDF  
N Engl J Med 2008; 358:2647-2648, Jun 12, 2008. Correspondence

This article has been cited by other articles:

• Marsh, J.L., McMaster, W., Parvizi, J., Katz, S. I., Spindler, K. (2008). AOA Symposium. Barriers (Threats) to Clinical Research. JBJS 90: 1769-1776 [Full Text]  
• Kortebein, P., Rhon, D., van Gijn, J., Katz, J. N., Harris, M. B. (2008). Lumbar Spinal Stenosis. NEJM 358: 2647-2648 [Full Text]