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George Varughese and Gilbert R. C. Quartey

) Kirkaldy-Willis WH, McIvor GWD (eds): Spinal stenosis. Clin Orthop 115: 1–144, 1976 (Symposium) 5. Kirkaldy-Willis WH , Paine KWE , Cauchoix J , et al : Lumbar spinal stenosis. Clin Orthop 99 : 30 – 50 , 1974 Kirkaldy-Willis WH, Paine KWE, Cauchoix J, et al: Lumbar spinal stenosis. Clin Orthop 99: 30–50, 1974 6. Lee CK , Hansen HT , Weiss AB : Developmental lumbar spinal stenosis. Pathological and surgical treatment. Spine 3 : 246 – 255 , 1978 Lee CK, Hansen HT, Weiss AB

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Jeremy C. Ganz

. JAMA 206 : 2477 – 2481 , 1968 Kavanaugh GJ, Svien HJ, Holman CB, et al: “Pseudoclaudication” syndrome produced by compression of the cauda equina. JAMA 206: 2477–2481, 1968 17. Lee CK , Hansen HT , Weiss AB : Developmental lumbar spinal stenosis: pathology and treatment. Spine 3 : 246 – 255 , 1978 Lee CK, Hansen HT, Weiss AB: Developmental lumbar spinal stenosis: pathology and treatment. Spine 3: 246–255, 1978 18. Nord T , Ronglan E : Degenerativ lumbal spinal stenose

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Paul W. Detwiler, Christina B. Spetzler, Sara B. Taylor, Neil R. Crawford, Randall W. Porter and Volker K. H. Sonntag

laminectomy for degenerative lumbar stenosis. J Bone Joint Surg Am 73: 809–816, 1991 23. Lee CK , Hansen HT , Weiss AB : Developmental lumbar spinal stenosis. Pathology and surgical treatment. Spine 3 : 246 – 255 , 1978 Lee CK, Hansen HT, Weiss AB: Developmental lumbar spinal stenosis. Pathology and surgical treatment. Spine 3: 246–255, 1978 24. Lombardi JS , Wiltse LL , Reynolds J , et al : Treatment of degenerative spondylolisthesis. Spine 10 : 821 – 827 , 1985 Lombardi JS

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Sameer Kitab, Bryan S. Lee and Edward C. Benzel

: Anatomic radiological variations in developmental lumbar spinal stenosis: a prospective, control-matched comparative analysis . Spine J 14 : 808 – 815 , 2014 10.1016/j.spinee.2013.09.012 24314904 26 Kraatari M , Skarp S , Niinimäki J , Karppinen J , Männikkö M : A whole exome study identifies novel candidate genes for vertebral bone marrow signal changes (Modic changes) . Spine (Phila Pa 1976) 42 : 1201 – 1206 , 2017 10.1097/BRS.0000000000002049 27997510 27 Kreiner DS , Shaffer WO , Baisden JL , Gilbert TJ , Summers JT , Toton JF

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Sameer Kitab, Ghaith Habboub, Salam B. Abdulkareem, Muthanna B. Alimidhatti and Edward Benzel

with age . Yonsei Med J 54 : 1498 – 1504 , 2013 10.3349/ymj.2013.54.6.1498 24142657 19 Kitab S , Lee BS , Benzel EC : Redefining lumbar spinal stenosis as a developmental syndrome: an MRI-based multivariate analysis of findings in 709 patients throughout the 16- to 82-year age spectrum . J Neurosurg Spine 29 : 654 – 660 , 2018 10.3171/2018.5.SPINE18100 30215592 20 Kitab SA , Alsulaiman AM , Benzel EC : Anatomic radiological variations in developmental lumbar spinal stenosis: a prospective, control-matched comparative analysis . Spine J 14

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Joel A. Finkelstein and Carolyn E. Schwartz

Performance based  Limping but not requiring external support 3  No restriction 5 Sphincter function (5)  Sphincter disturbances or impotence 0 Perception based  Normal 5 Ability to lift (3)  None 0 Performance based  More than 25 pounds 3 Muscle weakness (2)  Significant motor weakness on examination 0 Examination based  None 2 Adapted with permission from Lee C, Hansen H, Weiss A: Developmental lumbar spinal stenosis. Pathology and surgical treatment. Spine (Phila Pa 1976) 3: 246–255, 1978. This distinction among these constructs is illustrated in Fig. 1 . 56