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Causes of Spinal Stenosis

Spinal stenosis can be either primary or acquired. Primary spinal stenosis, which is a birth defect, is less common than acquired spinal stenosis, which is the result of disease or injury of the spine. The leading cause of acquired spinal stenosis is wear and tear on the spine due to aging.

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The most common direct cause of spinal stenosis is osteoarthritis, where the cartilage that cushions bones has started to degenerate due to age. Cartilage is smooth in most young people, but as it deteriorates with age, it becomes rough and may wear through completely, allowing bones to rub against each other. The body reacts to this rubbing by producing small bone growths called bone spurs. In the spine, these bony growths can narrow the spinal canal.

In addition, the discs between the vertebrae can be squeezed out of position (a herniated disc) or be ruptured or torn. A herniated disc can protrude into the spinal channel or pinch on the nerves extending through the intervertebral foramina. Ligaments connecting the vertebrae may also degenerate and pull one or more vertebrae out of position, which can pinch the spinal cord or nerves.

Risk factors for both osteoarthritis of the spine and for disc problems include poor posture and being overweight. Spinal Stenosis can also be due to an injury to the spine. This can include the kind of injury caused by picking up heavy objects improperly. The spine or spinal canal may be dislocated, putting pressure on the spinal cord and nerves. Fractures to the spine can create fragments of bone that can intrude into the spinal canal.

Any injury to the spine can also cause swelling of tissue that can put pressure on the spinal cord or nerves.
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