Back and leg pain with normal emg11/14/2023 ![]() ![]() The response to the added weight results in the development of osteophytes on facet joints and vertebral endplates, as well as the redundancy and thickening of the ligamentum flavum. The resulting biomechanical insufficiency results in transfer of stresses posteriorly to the ligaments and facet joints. The earliest changes occur in the intervertebral discs that lose their structural integrity and start to flatten. What might be appropriate for an intervertebral disc herniation (a form of acutely acquired spinal stenosis) will not necessarily be effective for spinal narrowing that has been decades in the making. Systemic Lupus Erythematosus Resource CenterĪ basic understanding of the pathogenesis of this disorder is essential for making therapeutic decisions for the corresponding form of spinal stenosis.Axial Spondyloarthritis Resource Center. ![]()
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