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A Journal on Forensic Medicine
Minerva Medicolegale 2001 June;121(2): 125-42
Neurogenic claudication caused by lumbosacral stenosis. Clinical and medico-legal aspects in a policy for the reimbursement of costs and invalidity resulting from sickness
Guercio N., Maggiore E., Gargiulo G.
The authors analyse lumbosacral stenosis from an anatomopathological, clinical and medicolegal point of view in the light of the neurological complications of the disease. In particular, they focus on the slow and gradual evolution of the pathology starting from a condition of paraphysiological status with morbigenic potential to a status of manifest disease with severe damage to the ''cauda equina'' and consequent radicular neurological damage and damage to the genitourinary tract. In this condition the disease represents the dynamic evolution towards the deterioration of an apparently normal state of health. The forensic expert must therefore use the clinical consultants to establish the timescale for applying the concept of disease. The authors then propose an analysis of the status of invalidity, a method of evaluation based on the use of ''qualifiers'' and the consequent barematic proposal.