Case

History of Claudication at Presentation

Lower Limb Radiation

Spasticity More in Upper and Lower Limbs

Reflexes - Upper Limbs

Reflex - Knee

Reflex - Ankle

Grip Release Test and Fine Movement

Nurick Grade before Stage 1

Surgery Stage 1

Outcome Stage 1

Nurick Grade after Stage 1

Stage 2

1

Yes

Yes

Equal

Hyper

Hypo

Hypo

Disturbed

3

Cervical and Lumbar

Improved

1

Thoracic Skipped

2

Yes

Yes

More in Lower Limbs

Hyper

Hypo

Hypo

Disturbed

4

Cervical and Thoracic

Respiratory Failure

4

Died

3.

No

Yes

More in Lower Limbs

Hyper

Hyper

Hyper

Disturbed

3

Cervical and Thoracic

Worsening Claudication, Leg Pain

2

Lumbar Decompression at 6 Months

4.

Yes

Yes

Only in Lower Limbs

Hyper

Hyper

Hypo

Normal

3

Thoracic and Lumbar

No Worsening of Hand Functions and Gait

3

Cervical Skipped

5.

Yes

Yes

Equal

Hyper

Hypo

Hypo

Disturbed

3

Cervical and Lumbar

Appearance of Bladder and Bowel Symptoms

3

Thoracic Decompression after 4 Months