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Treatment options for lumbar spinal stenosis and their medicolegal implications
by Dr Rishi Khanna, Consultant in Anaesthesia and Pain Management
14 October 2025
Lumbar spinal stenosis (LSS) causes nerve compression leading to pain and mobility issues. While conservative treatments are preferred, surgery is an option for severe cases but carries notable risks. From a medicolegal perspective, informed consent, clear communication of risks and benefits, and proper patient selection are essential to prevent litigation over poor outcomes.
The use of robotics in spinal surgery and the medicolegal implications
10 October 2025
Robotics confer several advantages when used in spinal surgery. First, the accuracy of screw placement is enhanced compared to those inserted freehand, with some studies reporting a misplacement rate approaching zero. Second, exposure to fluoroscopy is significantly reduced, benefitting not only the patient but also the surgeon and other operating theatre personnel.
Case study: cauda equina
30 September 2025
This case study describes a male patient with cauda equina syndrome (CES) initially misdiagnosed as sciatica. Delayed MRI and surgery led to prolonged nerve compression, resulting in permanent neurological complications despite eventual pain relief. The case raises concerns about delayed diagnosis and potential clinical negligence.