Spinal Stenosis Differential Diagnoses

Updated: Feb 01, 2022
  • Author: John K Hsiang, MD, PhD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Diagnostic Considerations

Problems to be considered in these patients include the following:

  • Rheumatologic - Ankylosing spondylitis/spondyloarthropathy, diffuse idiopathic skeletal hyperostosis (DISH)

  • Infectious - Epidural, subdural, intradural abscess; diskitis; Pott disease

  • Metabolic – Osteomalacia, parathyroid disease, vitamin B-12 or folic acid deficiency

  • Traumatic - Lumbar strain

  • Developmental/congenital - Scoliosis

  • Vascular - Peripheral vascular disease (with vascular claudication), abdominal aortic dissection

  • Psychogenic - Conversion disorder, malingering

  • Other - Metastatic breast cancer, prostate cancer, Paget disease

Differential Diagnoses